Kaposi's sarcoma physical examination

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Kaposi's sarcoma Microchapters
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Physical Examination

KS lesions are nodules or blotches that may be red, purple, brown, or black, and are usually papular (ie palpable or raised).

Papular cutaneous Kaposi's Sarcoma

They are typically found on the skin, but spread elsewhere is common, especially the mouth, gastrointestinal tract and respiratory tract.

Skin

The skin lesions most commonly affect the lower limbs, face, mouth and genitalia. The lesions are usually as described above, but may occasionally be plaque like (often on the soles of the feet) or even involved in skin breakdown with resulting fungating lesions. Associated swelling may be from either local inflammation or lymphoedema (obstruction of local lymphatic vessels by the lesion). Skin lesions may be quite disfiguring for the sufferer, and a cause of much psychosocial pathology.

Mouth

Is involved in about 30%, and is the initial site in 15% of AIDS related KS. In the mouth, the hard palate is most frequently affected, followed by the gums . Lesions in the mouth may be easily damaged by chewing and bleed or suffer secondary infection, and even interfere with eating or speaking.