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Related Experiment Videos

Purple-red papules on foot.

John Patrick Welsh¹, Herbert B Allen

¹Division of Dermatology, The Western Pennsylvania Hospital, Pittsburgh, PA USA. jp_welsh@hotmail.com

The Journal of Family Practice

|June 12, 2008

Summary

An elderly man presented with painful purple-red foot growths. Biopsy revealed a nodular neoplasm, suggesting Kaposi sarcoma, requiring further management.

Area of Science:

Dermatology
Oncology
Pathology

Background:

Presents a case of an 88-year-old male with a history of hypertension and cardiac valve replacement.
Patient was on warfarin and nadolol, with no systemic complaints.

Observation:

Multiple painful, purple-red papules and nodules on the left foot over several years.
Physical examination revealed lower extremity edema and mottled dyspigmentation.

Findings:

Punch biopsy demonstrated a nodular neoplasm.
Histopathology showed plump spindle-shaped cells in fascicles and extravasated erythrocytes in vascular slits.

Implications:

The findings are suggestive of Kaposi sarcoma, a vascular neoplasm.

Related Experiment Videos

Diagnosis requires further investigation and appropriate management plan.