ABSTRACT

This chapter presents the case study of a 56-year-old Albanian man. A 56-year-old Albanian man presents to the dermatology clinic with a 2-year history of developing asymptomatic purple lesions on his skin. There are well-demarcated macular purple patches on his shoulder, forearms, dorsi of his hands, right calf and left foot. The lesions on the left foot and medial shin are indurated, firm plaques. The mouth, genitals, scalp and nails are normal. A skin biopsy was taken from a lesion on the left foot. An HIV test was carried out. A computed tomography scan of the chest was performed. This Albanian patient presented with multiple, asymptomatic, palpable, purple skin lesions on a background of immunosuppression, leading to a clinical diagnosis of Kaposi’s sarcoma (KS). Transplant recipients often receive multiple blood transfusions leading to possible iron overload, and consequently leave them more susceptible to KS than other iatrogenically immunosuppressed patients.