We present a 35-year-old African American man with AIDS-associated Kaposi sarcoma with atypical bilateral lower limb lymphedema as the only sign of the disease during the 4-year follow-up. Lymphedema portrays a poor prognosis and represents an indication for chemotherapy in addition to antiretroviral therapy.
From the *Department of Internal Medicine, The University of Texas Health Science Center at Houston, Houston, TX; †Universidad Peruana Cayetano Heredia, Lima, Peru; and ‡Department of Pathology, Baylor College of Medicine, Houston, TX.
Correspondence to: Gabriel Marcelo Aisenberg, MD, Department of Internal Medicine, MSB 1.122, The University of Texas Health Science Center at Houston, 6431 Fannin St, Houston, TX 77030. E-mail: email@example.com.
The authors have no funding or conflicts of interest to disclose.