case_images: PMC10467514_01
case_images: X ray of the left hand showing complete lysis of the Fourth metacarpal bones.
case_images: ICRP_A_2251581_F0001_B.jpg
case_images: PMC10467514_01_ICRP_A_2251581_F0001_B.jpg
case_images: F0001
case_images: An X-ray showed local worsening of the Kaposi's disease leading to osteolysis at the base of the 3rd and 4th metacarpal bones (Figure 1).
case_images: CT Scan with bone and vascular reconstruction.
case_images: ICRP_A_2251581_F0002_C.jpg
case_images: PMC10467514_01_ICRP_A_2251581_F0002_C.jpg
case_images: F0002
case_images: A bone biopsy and CT scan were performed (Figure 2) showing the evolution of the disease with carpal bone involvement.
case_images: Lesions of the hand with a lateral view before surgery.
case_images: ICRP_A_2251581_F0003_C.jpg
case_images: PMC10467514_01_ICRP_A_2251581_F0003_C.jpg
case_images: F0003
case_images: In view of the successive failed treatment attempts and the unfavorable disease evolution (Figures 3, 4, 5), the decision was made to perform a transhumeral amputation.
case_images: Lesions of the hand with a dorsal view before surgery.
case_images: ICRP_A_2251581_F0004_C.jpg
case_images: PMC10467514_01_ICRP_A_2251581_F0004_C.jpg
case_images: F0004
case_images: In view of the successive failed treatment attempts and the unfavorable disease evolution (Figures 3, 4, 5), the decision was made to perform a transhumeral amputation.
case_images: Lesions of the hand with a palmar view before surgery.
case_images: ICRP_A_2251581_F0005_C.jpg
case_images: PMC10467514_01_ICRP_A_2251581_F0005_C.jpg
case_images: F0005
case_images: In view of the successive failed treatment attempts and the unfavorable disease evolution (Figures 3, 4, 5), the decision was made to perform a transhumeral amputation.
case_images: Appearance of the amputation stump at 6-month follow-up.
case_images: ICRP_A_2251581_F0006_C.jpg
case_images: PMC10467514_01_ICRP_A_2251581_F0006_C.jpg
case_images: F0006
case_images: The amputation stump healed well (Figure 6) and no local recurrence had occurred at the six month follow-up but a progression of the disease was found at other sites: sub-diaphragmatic, small intestinal and multifocal bone (Figure 7).
case_images: PET-SCAN 6 months after surgery showing sub-diaphragmatic, small intestinal and multifocal bone lesions. There was no recurrence on the upper-limb.
case_images: ICRP_A_2251581_F0007_B.jpg
case_images: PMC10467514_01_ICRP_A_2251581_F0007_B.jpg
case_images: F0007
case_images: The amputation stump healed well (Figure 6) and no local recurrence had occurred at the six month follow-up but a progression of the disease was found at other sites: sub-diaphragmatic, small intestinal and multifocal bone (Figure 7).