PDF(Pubmed)
Abstract：
A 34-year-old male with a history of peripheral vascular disease and multifactorial anemia presented with red blotches on his face, trunk, and extremities, multiple large bumps prominent on the lower extremities that burst at times with yellow pus and blood, swelling in the ankles, extremely dry feet, a chronic ulcer on the foot, and a dry, flaky, and irritated left middle finger. The patient was human immunodeficiency virus (HIV) positive, viral load undetectable. Endovenous laser ablation therapy was performed to correct venous insufficiency. A balloon was placed in the common iliac vein to treat May-Thurner syndrome. The bumps on the lower extremities were biopsied and found to be Kaposi\'s sarcoma (KS) and were removed by both wide excisions and shave removals, and further treatment with doxorubicin was performed successfully. The foot ulcer was found to be positive for methicillin-resistant Staphylococcus aureus (MRSA) and was treated with sulfamethoxazole-trimethoprim, metronidazole, and a chlorhexidine topical liquid. The patient noted that the treatments on his leg were working very well, and he was clearing up.
摘要：
一名34岁男性，有外周血管疾病和多因素贫血病史，脸上有红色斑点，树干,和四肢，下肢突出的多个大肿块，有时会出现黄色脓液和血液，脚踝肿胀，脚极度干燥,足部慢性溃疡,和干燥，片状,烦躁的左手中指.患者为人类免疫缺陷病毒（HIV）阳性，病毒载量检测不到。进行静脉内激光消融治疗以纠正静脉功能不全。在髂总静脉中放置一个球囊以治疗梅-瑟纳综合征。对下肢的肿块进行活检，发现是卡波西肉瘤（KS），并通过广泛切除和剃须去除去除。并成功进行了多柔比星的进一步治疗。发现足部溃疡对耐甲氧西林金黄色葡萄球菌（MRSA）呈阳性，并接受磺胺甲恶唑-甲氧苄啶治疗，甲硝唑,和氯己定局部液体。病人注意到他腿上的治疗效果很好，他正在清理。
