Am. J. Respir. Crit. Care Med., Vol 149, No. 4, Apr 1994, 1041-1043.
Pulmonary Kaposi's sarcoma revealed by a solitary nodule in a patient with acquired immunodeficiency syndrome
FJ Roux, C Bancal, MC Dombret, E Bouvet, A Sautet, G Murciano and M Aubier
Service de Pneumologie, Hopital Bichat, Paris, France.
Kaposi's sarcoma is very common in patients with AIDS. Usually, skin
lesions are associated with various visceral involvements. A homosexual
patient with AIDS presented with cough and dyspnea, which were followed
months later by hemoptysis. He had no skin lesions or endobronchial
Kaposi's sarcoma at any time. His chest radiograph showed only an irregular
solitary nodule. It exhibited very slow development over time. Surgery was
performed, and this solitary nodule proved to be pulmonary Kaposi's
sarcoma. Pulmonary Kaposi was the sole manifestation of this associated
AIDS sarcoma. This very unusual case report of pulmonary Kaposi sarcoma
indicates that this diagnosis should be considered in patients with AIDS
presenting with a solitary pulmonary nodule.