Lymphangioma-like Tumors in Kaposi's Sarcoma

Ronchese, F; Kern, Arthur B.

doi:10.1001/archderm.1957.01550150106015

Cited by 44 publications

(32 citation statements)

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“…‘Lymphangioma‐like’ or ‘bullous KS’ is very uncommon. The clinical features were first reported in 1957 by Ronchese and Kern 1 . Since then, only 21 cases have been published.…”

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Lymphangioma‐like Kaposi's sarcoma: report of four cases and review

Sánchez

Ferrufino

Bravo

et al. 2006

Acad Dermatol Venereol

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EditorKaposi's sarcoma (KS) is characterized by a wide range of cutaneous manifestations, such as macules, plaques, papules and nodules. However, some variants are only rarely observed and reported. 'Lymphangioma-like' or 'bullous KS' is very uncommon. The clinical features were first reported in 1957 by Ronchese and Kern. 1 Since then, only 21 cases have been published. We report the clinical correlation of four rare cases of lymphangioma-like KS with bulla-like lesions and review the literature.The first patient was a 65-year-old man with an 8-year history of pain and pruritus on the upper and lower extremities who presented with bulla-like lesions on both arms. These lesions varied in size from 0.5 to 2 cm in diameter. The second patient was an 89-year-old indigenous woman with a 1-month history of pain and oedema who presented with multiple nearly confluent violaceous nodules on her legs. Nodules varied in size from 0.5 to 1 cm in diameter. She also presented two bulla-like lesions on her left ankle. The third patient was a 61-year-old man with a 1-year history of pain and oedema who presented with multiple confluent brownish nodules and plaques on the lower extremities. Nodules varied in size from 0.5 to 1.5 cm in diameter. In these three patients, no lymphadenomegaly was clinically detectable, results of blood tests were within normal limits, and HIV serology proved negative. The fourth patient was a 36-year-old woman with a 5-year history of AIDS who presented with multiple violaceous plaques and nodules on her legs, and macules on her soft palate. Seven months before this she had been diagnosed with KS on the basis of her clinical presentation and histopathological features. At that time her lower extremities were treated with external radiation. Two months later, she experienced a rapid onset of bulla-like lesions on her right leg ( fig. 1). She was treated with systemic chemotherapy with no apparent response. The lesions had a tense consistency and were easily friable. Her CD4 count was less than 10 cells/mL and the viral load was 100 000 copies/mL. The patient died about 2 weeks later. fig. 1 Multiple confluent nodules and bulla-like lesions on the right foot.

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“…‘Lymphangioma‐like’ or ‘bullous KS’ is very uncommon. The clinical features were first reported in 1957 by Ronchese and Kern 1 . Since then, only 21 cases have been published.…”

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confidence: 99%

“…In 1957, Ronchese and Kern reported a ‘lymphangioma‐like’ variant of KS 1 ; since then, some other authors have reported it as ‘bullous KS’. Davis et al .…”

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confidence: 99%

Lymphangioma‐like Kaposi's sarcoma: report of four cases and review

Sánchez

Ferrufino

Bravo

et al. 2006

Acad Dermatol Venereol

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“…This lymphangiomatous variant may occur in all four clinical settings of KS, including classic, endemic African, acquired immunodeficiency syndrome (AIDS)‐related and immunosuppression. The clinical features of this variant were first reported in 1957 by Ronchese and Kern, and in 1977, Gange and Wilson‐Jones focused on the histological pattern. A cyst‐like consistency, as seen in our case, is considered a clinical hallmark of the lymphangiomatous variant, and this appearance may be indicative of specific histological findings …”

Section: Discussionmentioning

confidence: 99%

An unusual compressible lower leg plaque

et al. 2014

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“…[1][2][3][4][5][6][7][8] These cases were individually named in respect to the accompanying features as transient reactive papulotranslucent acrokeratoderma, acquired aquagenic palmoplantar keratoderma and aquagenic syringeal acrokeratoderma. These lesions are accentuated following a short period of water exposure.…”

Section: Lettersmentioning

confidence: 99%

“…English et al described two patients with transient HPA in whom the lesions were located on the non-trauma areas of the palms with-out associated atopic diathesis or sparse hair. 4,5 Yan et al proposed the term aquagenic palmoplantar keratoderma (APK) for those cases. 3 Recently, MacCormack et al described two cases of sporadic aquagenic syringeal acrokeratoderma and Yan et al reported three cases of sporadic aquagenic palmoplantar keratoderma.…”

Section: Lettersmentioning

confidence: 99%

Acquired aquagenic papulotranslucent acrokeratoderma

Yalçın

Artüz

Toy

et al. 2005

Acad Dermatol Venereol

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We report the case of a healthy 16-year-old male with progressively increasing brown macules arranged in a zosteriform pattern on the left abdomen and back. The lesion appeared at the age of 15 and has been enlarged since then. He had no history of any preceding eruption or injury to the area. He had no evidence of internal diseases. His family had no history of skin abnormalities. He was not taking any medications. Physical examination revealed linear, cribriform, brown macular pigmentation arranged in a zosteriform pattern on the left abdomen and back ( fig. 1). All macules were uniformly tan. Laboratory studies, including complete blood cell count, liver and renal function tests and serum electrolyte, had negative results. A skin boipsy specimen from the abdomen revealed increased pigmentation within the basal keratinocytes. There were a few dermal melanophages. No nevus cells were present ( fig. 2). Fontana-Masson stain showed an increase in melanin in the basal keratinocytes. The diagnosis of progressive cribriform and zosteriform hyperpigmentation -the late onset linear and whorled nevoid hypermelanosis was made. No treatments were given.Progressive cribriform and zosteriform hyperpigmentation was first described by Rower and colleagues in 1978. 1 The following criteria were suggested: (1) uniformly tan cribriform macular pigmentation in a zosteriform distribution; (2) a histologic pattern that consisted of a mild increase in melanin pigment in the basal cell layer and complete absence of nevus cells; (3) no history of rash, injury, or inflammation to suggest postinflammatory hyperpigmentation; (4) onset well after birth with gradual extension -age at onset was in the second decade of life in every case; and (5) lack of other associated cutaneous or internal abnormalities. 1 Linear and whorled nevoid hypermelanosis was first described by Kalter and colleagues in 1988. 2 It is characterized by swirls and streaks of macular hyperpigmentation along the lines of Blaschko. It usually appears early during the first year of life. In some patients, the lesions are quite stable, while in others they spread but then stabilize by the age of 2-3. The linear hyperpigmentation tends to persist indefinitely. Occasionally, there are associated systemic abnormalities. 2 Somatic mosaicism that develops during embryogenesis appears to be the underlying aetiology. The linear nature of the pigmented bands probably reflects the clonal migration and proliferation of embryonic melanocyte precursors (melanoblasts). 3 Recently, linear and whorled nevoid hypermelanosis have been used to encompass a wide spectrum of clinical entities, ranging from the congenital or perinatal form of Kalter and colleagues to the segmentary and delayed form of Rower and colleagues, for which there is a tendency to use the term progressive cribriform and zosteriform hyperpigmentation. 4 We report herein a case of progressive cribriform and zosteriform hyperpigmentation -the late onset linear and whorled nevoid hypermelanosis which is not associated with ...

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Lymphangioma-like Tumors in Kaposi's Sarcoma

Cited by 44 publications

References 9 publications

Lymphangioma‐like Kaposi's sarcoma: report of four cases and review

Lymphangioma‐like Kaposi's sarcoma: report of four cases and review

An unusual compressible lower leg plaque

Acquired aquagenic papulotranslucent acrokeratoderma

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