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Bilateral Lower Limb Lymphedema as the Only Sign of Kaposi Sarcoma in a Patient With Human Immunodeficiency Virus

Aisenberg, Gabriel Marcelo MD*; Huapaya, Julio MD; Zarrin-Khameh, Neda MD

Infectious Diseases in Clinical Practice: July 2014 - Volume 22 - Issue 4 - p e110–e112
doi: 10.1097/IPC.0000000000000170
Case Reports

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:

The authors have no funding or conflicts of interest to disclose.

© 2014 by Lippincott Williams & Wilkins.