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Purple Polypoid Masses on the Legs—Quiz Case
Sarah L. Jensen, MD;
Paul H. Bowman, MD
Saint Louis University, St Louis, Mo
Arch Dermatol. 2005;141:1311-1316.
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REPORT OF A CASE
A 42-year-old African American man with human immunodeficiency virus infection was admitted for evaluation of gastrointestinal symptoms. He had not seen his primary physician for 3 years and had discontinued his antiviral therapy because he was discouraged about his medical condition. Ten years earlier, a cutaneous eruption had developed on his legs. The lesions, which had multiplied and slowly evolved over the past decade, had suddenly proliferated over the prior 6 months, forming a sizable mass on his right leg. He had noticed increased malodorous drainage from the growths for a few weeks but had not sought evaluation or treatment. His CD4 cell count at this admission was 248/µL (reference range, 976-1357/µL), and his viral load was 5.6 copies/mL.
Physical examination revealed massive, exudative, polypoid masses along his right leg (Figure 1 and Figure 2). In addition to the grapelike . . . [Full Text of this Article]
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Purple Polypoid Masses on the Legs—Diagnosis
Arch Dermatol. 2005;141(10):1311-1316.
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