Zosteriform Kaposi's sarcoma

Abstract

We report the case of a 92-year-old man with lesions of classic Kaposi's sarcoma occurring in a zosteriform pattern. The mechanisms of dermatomal distribution are speculated and cutaneous lesions presenting in a zosteriform pattern are reviewed.

Asymptomatic papulonodular lesions in zosteriform distribution in an immunocompromised patient

“…described another case of zosteriform KS in a patient without a history of immunosuppression or previous herpes zoster involvement. However, by contrast with the case presented by Eisman et al ., our patient did not exhibit typical KS lesions at any other location, including the legs. Thus, in our case, the diagnosis of KS was more challenging.…”

“…As far as we could ascertain, to date, only two cases of the zosteriform pattern of KS have been reported in the literature . The first case was described in 1988 by Niedt and Prioleau, who reported a case of KS in an HIV‐positive patient, which appeared in a dermatomal distribution and at the site of previous herpes zoster involvement.…”

“…The first case was described in 1988 by Niedt and Prioleau, who reported a case of KS in an HIV‐positive patient, which appeared in a dermatomal distribution and at the site of previous herpes zoster involvement. In 2001, Eisman et al . described another case of zosteriform KS in a patient without a history of immunosuppression or previous herpes zoster involvement.…”

Primary Palmoplantar Kaposi's Sarcoma: An Unusual Presentation

“…Classic/sporadic‐type KS, as originally described by Kaposi, is found mainly in elderly Jewish men of Eastern European origin. The purple macular, patchy, or nodular lesions are often confined to the lower legs, where there is associated edema 4 . KS involvement of the palms and soles is rare.…”

“…In this report, the palms and soles were not involved simultaneously. Classic KS is reported in rare presentations as bullous lesions, 9 zosteriform, 4,10 Koebner phenomenon, 11 mucosa, 3 oral palate, 12 penis, 1,13 conjunctiva, 14 external ear, 15 isolated bone involvement, 16 widespread, 17 rapidly growing, 18 and atypical aggressive 19 . In our patient, KS affected both the palms and the soles bilaterally.…”