Pseudo-kaposi sarcoma (overview) I87.2

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 03.08.2021

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Synonym(s)

Acroangiodermatitis; PKS; Pseudoangiosarcomatosis; pseudocaposi sarcoma

Definition
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Reactive (benign) vascular proliferation caused by local changes in circulation (altered oxygen and/or pressure load), clinically and histologically reminiscent of Kaposi's sarcoma.

Classification
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The term pseudo-Kaposi sarcoma is used to describe 2 variants of acroangiodermatitis:

Mali-type acroangiodermatitis is more common and is associated with chronic venous hypertension, whereas Stewart-Bluefarb type acroangiodermatitis is less common SBS and is associated with arteriovenous malformations or iatrogenic arteriovenous fistulas (Chea EPet al. 2019).

Etiopathogenesis
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In chronic venous insufficiency: acroangiodermatitis

More rarely in AV shunts ( Klippel-Trénaunay-Weber syndrome), haemodialysis patients,: Stewart-Bluefarb syndrome

In exceptional cases in paralytic extremities, amputation stumps

In obesity (diagnosis of exclusion).

Therapy
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Treatment of the underlying disease, see there.

Literature
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  1. Alshihry H et al (2014) Pseudo-Kaposi sarcoma worsening after leg vein harvest for coronary artery bypass grafting. Ann Saudi Med 34:179-181
  2. Brenner S et al (2001) What's new in pseudo-Kaposi's sarcoma. J Eur Acad Dermatol Venereol 15: 382-384.
  3. Chea EPet al (2019) Acroangiodermatitis of Mali and Stewart-Bluefarb syndrome. Cutis 103:336-339.

  4. Donhauser G et al (1991) Pseudo-Kaposi sarcoma in Prader-Labhart-Willi syndrome. Dermatologist 42: 467-470
  5. Goldblum OM et al (1985) Pseudo-Kaposi's sarcoma of the hand associated with an acquired, iatrogenic arteriovenous fistula. Arch Dermatol 121: 1038-1040
  6. Hwang SM et al (1999) Pincer nail deformity and pseudo-Kaposi's sarcoma: complications of an artificial arteriovenous fistula for haemodialysis. Br J Dermatol 141: 1129-1132
  7. Kutlubay Z et al (2015) Pseudo-kaposi's sarcoma (acroangiodermatitis): occurring after bullous erysipelas. Dermatol Online J 18: 21
  8. Rüdlinger R (1985) Kaposiform acroangiodermatitis (pseudocaposi). Dermatologist 36: 65-68
  9. Singh SK et al (2014) Acroangiodermatitis (pseudo-caposi sarcoma). Indian Dermatol Online J 5:323-32

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Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

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Last updated on: 03.08.2021