title: Classical Kaposi's Sarcoma in a Nigerian Farmer: A Case Report.
abstract: Classical Kaposi's sarcoma (KS) typically affects elderly men of Mediterranean and Jewish origin. We present an unusual case of classical KS in a human immunodeficiency virus (HIV) negative elderly farmer from rural Nigeria. He had multiple brownish nodules and plaques on both lower extremities associated with lymphoedema. Histopathological examination of a biopsy of the skin nodule confirmed the diagnosis of KS. The lesions only showed marginal improvement on chemotherapy which necessitated a referral for radiotherapy. There is a need to look beyond the traditional geographical distinction of KS variants as we continue to experience a dynamic role for environmental co-factors in the development of KS.
authors.affiliation: Department of Medicine, University of Nigeria College of Medicine, Enugu, Nigeria ; Federal Medical Centre, Owerri, Imo State, Nigeria.
authors.forename: Michael O
authors.initials: MO
authors.lastname: Iroezindu
authors.affiliation: Department of Anatomic Pathology, Federal Staff Hospital, Abuja, Nigeria.
authors.forename: Izuchukwu B
authors.initials: IB
authors.lastname: Achusi
keywords: Classical; Kaposi’s sarcoma; Nigeria