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michaelshain2
It's unfortunate that I had to pay in order to get these answer explanations. They aren't as informative/thorough on freenbme :/
+6
jamaicabliz
So annoyed, I thought it was asking us to recognize that it could also be Bacillary Angiomatosis from Bartonella, which also presents in the immunocompromised... So any different study materials stress the importance of differentiating them, given they look very similar.
+2
drdoom
@apurva tell that to my loan officer!๐๐๐
+
cbreland
Between this and bacillary angiomatosis, I think it came down to Kaposi being more likely with a HIV patient and also the lesions being purple
+
jsanmiguel415
It says that "in addition to treatment with highly active antiretroviral therapy" which makes me think this is HHV-8 -> Kaposi sarcoma. Bartonella is bacterial and would be treated with azithro + doxy
+
ih8payingfordis
The reason why this isn't Bacillary Angiomatosis is because the stem states that the rash is NOT painful.
In BA, the rash is painful!
+2
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j44n
it is not. The pt has a history of being immunocompromised. Also, gottron's are over the hands and dermatomysitis can present with a rash over the eyelid as well! There is also no history muscle weakness at the proximal muscles (shoudler/ hip area) and no mention of an elevated creatine kinase! - hope this helps :)
+2
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submitted by โapurva(101)
THIS IS KAPOSI's SARCOMA ==> give antineoplastic
"THIS IS JUST TO LENGTHEN THIS ANSWER, NEVER EVER PAY THIS SITE, EDUCATION SHOULD BE FREE FOR ALL!"