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case_images: The observation and physical examination of disseminated AIDS-KS. (A) Purple-red macula on the oral mucosa. (B) Dark red maculopapular on chest and abdomen skin.
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case_images: The large purple-red macules could be observed on the oral mucosa (Figure 1A). The dark brown and dark red scattered petechiae can be seen in the neck, chest, abdomen, and lower limbs (Figure 1B).
case_images: The laboratory examination. (A and B) Ill-defined nodular areas were found in the dermis; novel and immature vessels can be seen in the nodes; hyperplasia for the mesenchymal spindle cells; angiomatous changes can be observed in the focal area, which follows the character of KS; (C) Immunohistochemical examination: CD34(+); Fli-1(+); HHV8(-); Ki-67(30%+); D2-40(+).
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case_images: HHV8(-); Ki-67(30%+); D2-40(+) (Figure 2). Histopathology examination percutaneous pulmonary biopsy (18/12/2018) showed that neovascularization with varying-sized red blood cells could be seen in the alveolar stroma, spindle cell hyperplasia with mild stroma atypia.
case_images: The histopathological examination. (A and B) Neovascularization with red blood cells of varying sizes can be seen in the alveolar stroma; Spindle cell hyperplasia with mild stroma atypia (Kaposi's sarcoma); (C and D) Immunohistochemical examination/specific stain of pathology: CD34(+) D2-40(+) Fli-1(+) HHV8(+) Ki-67(20%+) PAS(-) acid-fast staining (-) Silver hexamine staining (-).
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case_images: Immunohistochemical examination/specific stain of pathology of CD34(+), D2-40(+), Fli-1(+) HHV8(+), Ki-67(20%+), PAS(-), acid-fast staining (-), and Silver hexamine staining (-) (Figure 3).
case_images: PMC10544134_03
case_images: Chest CT image. (A) The chest CT in our hospital showed multiple lung lesions with exudation and fluid in both pleural cavities. (B) The reexamination of chest CT after discharge showed a marked improvement compared to the last examination; ground-glass attenuation was absorbed for both lungs.
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case_images: The ground-glass attenuation was absorbed for both lungs (Figure 4B).
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case_images: Chest CT image. (A) The chest CT in our hospital showed multiple lung lesions with exudation and fluid in both pleural cavities. (B) The reexamination of chest CT after discharge showed a marked improvement compared to the last examination; ground-glass attenuation was absorbed for both lungs.
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case_images: The ground-glass attenuation was absorbed for both lungs (Figure 4B).
case_images: The timeline shows the entire diagnosis and treatment process of this case.
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case_images: The timeline of patient diagnosis and treatment is shown in Figure 5.