Dermatological Lesions of Cholesterol Embolisation Syndrome and Kaposi Sarcoma Mimic Primary Systemic Vasculitis

Authors

Abdulmohsen S. Alqurashi, College of Medicine, Umm Al-Qura University, Makkah, Saudi Arabia
Mohammed H. Aly, Department of Internal Medicine, Security Forces Hospital, Makkah, Saudi Arabia
Abdulghaffar Mohammed, Department of Internal Medicine, Security Forces Hospital, Makkah, Saudi Arabia
Walaa A. Ahmed, College of Medicine, Umm Al-Qura University, Makkah, Saudi Arabia
Abdullah M. Alhazmi, College of Medicine, Umm Al-Qura University, Makkah, Saudi Arabia
Amal A. Ahmed, Department of Histopathology, Security Forces Hospital, Makkah, Saudi Arabia
Abdulrahman A. Alshehri, Department of Rheumatology, Security Forces Hospital, Makkah, Saudi Arabia
Abdulrahman M. Almalki, College of Medicine, Umm Al-Qura University, Makkah, Saudi Arabia

Abstract

Primary systemic vasculitis can present with a wide spectrum of manifestations ranging from systemic non-specific features such as fever, malaise, arthralgia and myalgia to specific organ damage. We describe two cases of cholesterol embolisation syndrome and Kaposi sarcoma mimicking primary systemic vasculitis, both of which were characterised by features such as livedo reticularis, blue toe syndrome, a brown purpuric skin rash and positive perinuclear anti-neutrophil cytoplasmic antibodies associated with Kaposi sarcoma. Establishing the right diagnosis was challenging and thus this report aimed to highlight the possible ways to distinguish them from primary systemic vasculitis.

Publication Date

5-31-2023

First Page

256

Last Page

258

Creative Commons License

This work is licensed under a Creative Commons Attribution-No Derivative Works 4.0 International License.

Recommended Citation

Alqurashi, Abdulmohsen S.; Aly, Mohammed H.; Mohammed, Abdulghaffar; Ahmed, Walaa A.; Alhazmi, Abdullah M.; Ahmed, Amal A.; Alshehri, Abdulrahman A.; and Almalki, Abdulrahman M. (2023) "Dermatological Lesions of Cholesterol Embolisation Syndrome and Kaposi Sarcoma Mimic Primary Systemic Vasculitis," Sultan Qaboos University Medical Journal: Vol. 23: 256-258.
DOI: https://doi.org/10.18295/squmj.2.2022.018