title: Acquired Immune Deficiency Syndrome-Associated Kaposi Sarcoma in a Child Presenting as a Solitary Plantar Hyperkeratotic Plaque.
abstract: OBJECTIVE
  Acquired immune deficiency syndrome (AIDS)-associated Kaposi sarcoma (KS) among the pediatric population is a rare entity in North America and Europe, and its cutaneous manifestations are not well defined in the literature. The investigators report the case of a boy with an AIDS-associated KS presenting as an infiltrated hyperkeratotic plaque of the plantar arch.
  
  
  RESULTS
  An 11-year-old African boy with congenital human immunodeficiency virus (HIV) had a skin biopsy of the plantar lesion that was consistent with a KS. The patient also presented intestinal and pulmonary symptoms; combined chemotherapy regimen and highly active antiretroviral therapy were given in the presence of systemic involvement.
  
  
  CONCLUSIONS
  AIDS-associated KS poses a particular challenge to clinical diagnosis, since it can manifest with a variety of lesions. Dermatologists should have a low threshold for performing a skin biopsy in patients with HIV.
authors.affiliation: 1 Division of Dermatology, CHU de Quebec, Quebec, QC, Canada.
authors.forename: Pierre-Olivier
authors.initials: PO
authors.lastname: Grenier
authors.affiliation: 1 Division of Dermatology, CHU de Quebec, Quebec, QC, Canada.
authors.forename: Isabelle
authors.initials: I
authors.lastname: Auger
mesh_terms: D017088:AIDS-Related Opportunistic Infections; D001706:Biopsy; D002648:Child; D005528:Foot / Q000473:pathology*; D006801:Humans; D008297:Male; D012514:Sarcoma, Kaposi; D012867:Skin / Q000473:pathology
keywords: Kaposi sarcoma; acquired immune deficiency syndrome; human herpesvirus 8; human immunodeficiency virus