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Pseudo-Kaposi's Sarcoma of the Hand Associated With an Acquired, Iatrogenic Arteriovenous Fistula

Pseudo-Kaposi's Sarcoma of the Hand Associated With an Acquired, Iatrogenic Arteriovenous Fistula Abstract • Pseudo-Kaposi's sarcoma has been associated, in most cases, with an underlying congenital arteriovenous (AV) fistula. A patient with chronic renal failure and an acquired, iatrogenic AV fistula in his left wrist for hemodialysis developed pseudo-Kaposi's sarcoma on his left hand three years after placement of the AV fistula. Histologic findings included a proliferation of superficial dermal vessels and fibroblasts, extravasated red blood cells, and occasional fibrin thrombi in vessels. To our knowledge, this is the third case of an association between pseudo-Kaposi's sarcoma and an acquired, iatrogenic AV fistula, and the first to involve the hand. Pseudo-Kaposi's sarcoma occurs in association with underlying congenital and acquired AV fistulas. (Arch Dermatol 1985;121:1038-1040) References 1. Grupper C, Elalouf C, Girard J, et al: Kaposi ou pseudo-Kaposi (acro-angiodermatite de Mali) . Bull Soc Fr Dermatol Syph 1969;76:757-759. 2. Earhart RN, Aeling JA, Nuss DD, et al: Pseudo-Kaposi sarcoma: A patient with arteriovenous malformation and skin lesions simulating Kaposi sarcoma . Arch Dermatol 1974;110:907-910.Crossref 3. Chandon JP, Gamby T, Bonerandi JJ, et al: Pseudo-maladie de Kaposi (type Stewart-Bluefarb) apres creation d'une fistule arterio-veineuse pour epuration extra-renale . Bull Soc Fr Dermatol Syph 1975;82:363-365. 4. Headley JL, Cole GW: The development of pseudo-Kaposi's sarcoma after placement of a vascular access graft . Br J Dermatol 1980;102:327-331.Crossref 5. Kopf AW, Gonzalez V: Congenital dysplastic angiopathy of the skin and underlying tissue . Arch Dermatol 1964;90:360-362. 6. Bluefarb SM, Adams LA: Arteriovenous malformation with angiodermatitis: Stasis dermatitis simulating Kaposi's disease . Arch Dermatol 1967;96:176-181.Crossref 7. Baer RL: Multiple diffuse congenital arteriovenous aneurysms, appearing as stasis dermatitis . Arch Dermatol 1969;99:631-632.Crossref 8. Rozen J: Acroangiodermatitis . Arch Dermatol 1969;100:250-251.Crossref 9. Waterson KW Jr, Shapiro L, Dannenberg M: Developmental arteriovenous malformation with secondary angiodermatitis: Report of a case . Arch Dermatol 1969;100:297-302.Crossref 10. Amon RB: Arteriovenous malformation resembling Kaposi sarcoma . Arch Dermatol 1975;111:1656-1657.Crossref 11. Rusin LJ, Harrell ER: Arteriovenous fistula: Cutaneous manifestations . Arch Dermatol 1976;112:1135-1138.Crossref 12. Rosen T, Martin S, Stern JK: Radionuclide scanning in pseudo-Kaposi's sarcoma . Arch Dermatol 1979;115:747-748.Crossref 13. Brenner S, Ophir J, Krakowski A, et al: Kaposi-like arteriovenous malformation and angiodermatitis (pseudo-Kaposi) . Cutis 1982;30:240-256. 14. Marshall ME, Hatfield ST, Hatfield DR: Arteriovenous malformation simulating Kaposi's sarcoma: (pseudo-Kaposi's sarcoma) . Arch Dermatol 1985;121:99-101.Crossref 15. Lever WF, Schaumberg-Lever G: Histopathology of the Skin , ed 6. New York, JB Lippincott, 1983, p 624. 16. Haimov M, Baez A, Neff M, et al: Complications of arteriovenous fistulas for hemodialysis . Arch Surg 1975;110:708-712.Crossref 17. Kerstein MD, May CJ: Acute and chronic venous insufficiency in the finger . Angiology 1976;27:265-266.Crossref 18. Swayne LC, Manstein C, Somers R, et al: Selective digital venous hypertension: A rare complication of hemodialysis arteriovenous fistula . Cardiovasc Intervent Radiol 1983;6:61-62.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Dermatology American Medical Association

Pseudo-Kaposi's Sarcoma of the Hand Associated With an Acquired, Iatrogenic Arteriovenous Fistula

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Publisher
American Medical Association
Copyright
Copyright © 1985 American Medical Association. All Rights Reserved.
ISSN
0003-987X
eISSN
1538-3652
DOI
10.1001/archderm.1985.01660080092022
Publisher site
See Article on Publisher Site

Abstract

Abstract • Pseudo-Kaposi's sarcoma has been associated, in most cases, with an underlying congenital arteriovenous (AV) fistula. A patient with chronic renal failure and an acquired, iatrogenic AV fistula in his left wrist for hemodialysis developed pseudo-Kaposi's sarcoma on his left hand three years after placement of the AV fistula. Histologic findings included a proliferation of superficial dermal vessels and fibroblasts, extravasated red blood cells, and occasional fibrin thrombi in vessels. To our knowledge, this is the third case of an association between pseudo-Kaposi's sarcoma and an acquired, iatrogenic AV fistula, and the first to involve the hand. Pseudo-Kaposi's sarcoma occurs in association with underlying congenital and acquired AV fistulas. (Arch Dermatol 1985;121:1038-1040) References 1. Grupper C, Elalouf C, Girard J, et al: Kaposi ou pseudo-Kaposi (acro-angiodermatite de Mali) . Bull Soc Fr Dermatol Syph 1969;76:757-759. 2. Earhart RN, Aeling JA, Nuss DD, et al: Pseudo-Kaposi sarcoma: A patient with arteriovenous malformation and skin lesions simulating Kaposi sarcoma . Arch Dermatol 1974;110:907-910.Crossref 3. Chandon JP, Gamby T, Bonerandi JJ, et al: Pseudo-maladie de Kaposi (type Stewart-Bluefarb) apres creation d'une fistule arterio-veineuse pour epuration extra-renale . Bull Soc Fr Dermatol Syph 1975;82:363-365. 4. Headley JL, Cole GW: The development of pseudo-Kaposi's sarcoma after placement of a vascular access graft . Br J Dermatol 1980;102:327-331.Crossref 5. Kopf AW, Gonzalez V: Congenital dysplastic angiopathy of the skin and underlying tissue . Arch Dermatol 1964;90:360-362. 6. Bluefarb SM, Adams LA: Arteriovenous malformation with angiodermatitis: Stasis dermatitis simulating Kaposi's disease . Arch Dermatol 1967;96:176-181.Crossref 7. Baer RL: Multiple diffuse congenital arteriovenous aneurysms, appearing as stasis dermatitis . Arch Dermatol 1969;99:631-632.Crossref 8. Rozen J: Acroangiodermatitis . Arch Dermatol 1969;100:250-251.Crossref 9. Waterson KW Jr, Shapiro L, Dannenberg M: Developmental arteriovenous malformation with secondary angiodermatitis: Report of a case . Arch Dermatol 1969;100:297-302.Crossref 10. Amon RB: Arteriovenous malformation resembling Kaposi sarcoma . Arch Dermatol 1975;111:1656-1657.Crossref 11. Rusin LJ, Harrell ER: Arteriovenous fistula: Cutaneous manifestations . Arch Dermatol 1976;112:1135-1138.Crossref 12. Rosen T, Martin S, Stern JK: Radionuclide scanning in pseudo-Kaposi's sarcoma . Arch Dermatol 1979;115:747-748.Crossref 13. Brenner S, Ophir J, Krakowski A, et al: Kaposi-like arteriovenous malformation and angiodermatitis (pseudo-Kaposi) . Cutis 1982;30:240-256. 14. Marshall ME, Hatfield ST, Hatfield DR: Arteriovenous malformation simulating Kaposi's sarcoma: (pseudo-Kaposi's sarcoma) . Arch Dermatol 1985;121:99-101.Crossref 15. Lever WF, Schaumberg-Lever G: Histopathology of the Skin , ed 6. New York, JB Lippincott, 1983, p 624. 16. Haimov M, Baez A, Neff M, et al: Complications of arteriovenous fistulas for hemodialysis . Arch Surg 1975;110:708-712.Crossref 17. Kerstein MD, May CJ: Acute and chronic venous insufficiency in the finger . Angiology 1976;27:265-266.Crossref 18. Swayne LC, Manstein C, Somers R, et al: Selective digital venous hypertension: A rare complication of hemodialysis arteriovenous fistula . Cardiovasc Intervent Radiol 1983;6:61-62.Crossref

Journal

Archives of DermatologyAmerican Medical Association

Published: Aug 1, 1985

References