Kaposi's sarcoma physical examination: Difference between revisions

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Revision as of 22:10, 20 January 2016

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Kiran Singh, M.D. [2]

Overview

Kaposi's sarcoma lesions are nodules or patches that may be purple, red, bluew, or black, and are usually located on the nose, legs, and feet.

Physical Examination

General Appearance

Patients with Kaposi's sarcoma usually appear healthy

Skin

Kaposi's sarcoma lesions are nodules or patches that may be purple, red, blue, or black, and are usually located on the nose, legs, and feet.

Papular cutaneous Kaposi's Sarcoma
Kaposi's sarcoma before Interferon treatment.

HEEENT

The oral cavity is involved in about 30%, and is the initial site in 15% of AIDS related Kaposi's sarcoma. In the mouth, the hard palate is most frequently affected, followed by the gums ^[1]. Lesions in the mouth may be easily damaged by chewing and bleed or suffer secondary infection, and even interfere with eating or speaking.

Kaposi's sarcoma

Extremities

Kaposi's sarcoma. Adapted from Dermatology Atlas.^[2]
Kaposi's sarcoma. Adapted from Dermatology Atlas.^[2]
Kaposi's sarcoma. Adapted from Dermatology Atlas.^[2]
Kaposi's sarcoma. Adapted from Dermatology Atlas.^[2]
Kaposi's sarcoma. Adapted from Dermatology Atlas.^[2]
Kaposi's sarcoma. Adapted from Dermatology Atlas.^[2]
Kaposi's sarcoma. Adapted from Dermatology Atlas.^[2]
Kaposi's sarcoma. Adapted from Dermatology Atlas.^[2]
Kaposi's sarcoma. Adapted from Dermatology Atlas.^[2]
Kaposi's sarcoma. Adapted from Dermatology Atlas.^[2]
Kaposi's sarcoma. Adapted from Dermatology Atlas.^[2]
Kaposi's sarcoma. Adapted from Dermatology Atlas.^[2]
Kaposi's sarcoma. Adapted from Dermatology Atlas.^[2]
Kaposi's sarcoma. Adapted from Dermatology Atlas.^[2]
Kaposi's sarcoma. Adapted from Dermatology Atlas.^[2]
Kaposi's sarcoma. Adapted from Dermatology Atlas.^[2]
Kaposi's sarcoma. Adapted from Dermatology Atlas.^[2]
Kaposi's sarcoma. Adapted from Dermatology Atlas.^[2]
Kaposi's sarcoma. Adapted from Dermatology Atlas.^[2]
Kaposi's sarcoma. Adapted from Dermatology Atlas.^[2]
Kaposi's sarcoma. Adapted from Dermatology Atlas.^[2]
Kaposi's sarcoma. Adapted from Dermatology Atlas.^[2]
Kaposi's sarcoma. Adapted from Dermatology Atlas.^[2]
Kaposi's sarcoma. Adapted from Dermatology Atlas.^[2]
Kaposi's sarcoma. Adapted from Dermatology Atlas.^[2]
Kaposi's sarcoma. Adapted from Dermatology Atlas.^[2]
Kaposi's sarcoma. Adapted from Dermatology Atlas.^[2]
Kaposi's sarcoma. Adapted from Dermatology Atlas.^[2]
Kaposi's sarcoma. Adapted from Dermatology Atlas.^[2]
Kaposi's sarcoma. Adapted from Dermatology Atlas.^[2]
Kaposi's sarcoma. Adapted from Dermatology Atlas.^[2]
Kaposi's sarcoma. Adapted from Dermatology Atlas.^[2]
Kaposi's sarcoma. Adapted from Dermatology Atlas.^[2]
Kaposi's sarcoma. Adapted from Dermatology Atlas.^[2]
Kaposi's sarcoma. Adapted from Dermatology Atlas.^[2]
Kaposi's sarcoma. Adapted from Dermatology Atlas.^[2]
Kaposi's sarcoma. Adapted from Dermatology Atlas.^[2]
Kaposi's sarcoma. Adapted from Dermatology Atlas.^[2]
Kaposi's sarcoma. Adapted from Dermatology Atlas.^[2]
Kaposi's sarcoma. Adapted from Dermatology Atlas.^[2]
Kaposi's sarcoma. Adapted from Dermatology Atlas.^[2]
Kaposi's sarcoma. Adapted from Dermatology Atlas.^[2]
Kaposi's sarcoma. Adapted from Dermatology Atlas.^[2]

References

↑ Nichols, CM (1993). "Treating Kaposi's lesions in the HIV-infected patient". J Am Dent Assoc. 124 (11): 78–84. Retrieved 2007-06-11. Unknown parameter |month= ignored (help)
↑ ^2.00 ^2.01 ^2.02 ^2.03 ^2.04 ^2.05 ^2.06 ^2.07 ^2.08 ^2.09 ^2.10 ^2.11 ^2.12 ^2.13 ^2.14 ^2.15 ^2.16 ^2.17 ^2.18 ^2.19 ^2.20 ^2.21 ^2.22 ^2.23 ^2.24 ^2.25 ^2.26 ^2.27 ^2.28 ^2.29 ^2.30 ^2.31 ^2.32 ^2.33 ^2.34 ^2.35 ^2.36 ^2.37 ^2.38 ^2.39 ^2.40 ^2.41 ^2.42 "Dermatology Atlas".

Template:WH Template:WS

[1] Nichols, CM (1993). "Treating Kaposi's lesions in the HIV-infected patient". J Am Dent Assoc. 124 (11): 78–84. Retrieved 2007-06-11. Unknown parameter |month= ignored (help)

[Dermatology_Atlas-2] 2.00 ^2.01 ^2.02 ^2.03 ^2.04 ^2.05 ^2.06 ^2.07 ^2.08 ^2.09 ^2.10 ^2.11 ^2.12 ^2.13 ^2.14 ^2.15 ^2.16 ^2.17 ^2.18 ^2.19 ^2.20 ^2.21 ^2.22 ^2.23 ^2.24 ^2.25 ^2.26 ^2.27 ^2.28 ^2.29 ^2.30 ^2.31 ^2.32 ^2.33 ^2.34 ^2.35 ^2.36 ^2.37 ^2.38 ^2.39 ^2.40 ^2.41 ^2.42 "Dermatology Atlas".

[1]

[2]

@@ Line 3: / Line 3: @@
 {{Kaposi's sarcoma}}
 ==Overview==
+Kaposi's sarcoma [[lesion]]s are nodules or patches that may be purple, red, bluew, or black, and are usually located on the nose, legs, and feet.
 ==Physical Examination==
-Kaposi's sarcoma [[lesion]]s are nodules or blotches that may be red, purple, brown, or black, and are usually papular (ie palpable or raised). They are typically found on the skin, but spread elsewhere is common, especially the mouth, [[gastrointestinal tract]] and [[respiratory tract]]. <ref>{{cite journal |last=Dezube |first=BJ |authorlink= |coauthors= |year=1996 |month=Oct |title=Clinical presentation and natural history of AIDS--related Kaposi's sarcoma |journal=Hematol Oncol Clin North Am |volume=10 |issue=5 |pages=1023-9 |id= |url=http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=Retrieve&db=PubMed&list_uids=8880194&dopt=Citation |accessdate= |quote= }}</ref>
+===General Appearance===
+Patients with Kaposi's sarcoma usually appear healthy
 ===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.
+Kaposi's sarcoma [[lesion]]s are nodules or patches that may be purple, red, blue, or black, and are usually located on the nose, legs, and feet.
-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.
 <gallery>
 Kaposi's Sarcoma.jpg|Papular cutaneous Kaposi's Sarcoma
 Kaposi's sarcoma treatment.jpg|Kaposi's sarcoma before [[Interferon]] treatment.
-Kaposi’s sarcoma intraoral AIDS 072 lores.jpg|Kaposi's sarcoma
 </gallery>
-===Mouth===
+===HEEENT===
-Is involved in about 30%, and is the initial site in 15% of AIDS related Kaposi's sarcoma. In the mouth, the [[hard palate]] is most frequently affected, followed by the [[gums]] <ref>{{cite journal |last=Nichols |first=CM |authorlink= |coauthors= |year=1993 |month=Nov |title=Treating Kaposi's lesions in the HIV-infected patient. |journal=J Am Dent Assoc |volume=124 |issue=11 |pages=78-84 |id= |url=http://jada.ada.org/cgi/content/abstract/124/11/78 |accessdate= 2007-06-11 |quote= }}</ref>. Lesions in the mouth may be easily damaged by chewing and bleed or suffer secondary infection, and even interfere with eating or speaking.
+The oral cavity is involved in about 30%, and is the initial site in 15% of AIDS related Kaposi's sarcoma. In the mouth, the [[hard palate]] is most frequently affected, followed by the [[gums]] <ref>{{cite journal |last=Nichols |first=CM |authorlink= |coauthors= |year=1993 |month=Nov |title=Treating Kaposi's lesions in the HIV-infected patient. |journal=J Am Dent Assoc |volume=124 |issue=11 |pages=78-84 |id= |url=http://jada.ada.org/cgi/content/abstract/124/11/78 |accessdate= 2007-06-11 |quote= }}</ref>. Lesions in the mouth may be easily damaged by chewing and bleed or suffer secondary infection, and even interfere with eating or speaking.
 <br clear="left"/>
+<gallery>
+Kaposi’s sarcoma intraoral AIDS 072 lores.jpg|Kaposi's sarcoma
+</gallery>
 ===Extremities===