Stewart W M
Ann Dermatol Venereol. 1977 May;104(5):391-6.
In a few cases, arterio-venous fistulae of the lower limbs lead to cutaneous symptoms of the toes, feet or legs exactly similar to Kaposi's disease; the fairly precocious occurrence, the unilateral localisation, the existence of clinical and radiological arterial symptoms and usually, but not always, particular histological features allow this discrimination. Seen in both sex, male prevailing, between 12 and 50, it can simulate Kaposi's disease even on histological grounds; the diagnosis may, then, be difficult inasmuch as vascular symptoms may clinically lack. The development may be very different from one case to another so that there is no standard treatment between "wait and see" and more or less extensive amputation.
在少数情况下,下肢动静脉瘘会导致脚趾、足部或腿部出现与卡波西氏病极为相似的皮肤症状;发病相对较早、单侧分布、存在临床和放射学动脉症状,且通常(但并非总是)具有特定的组织学特征,这些有助于进行鉴别。本病可见于两性,男性居多,年龄在12岁至50岁之间,甚至在组织学层面也可能酷似卡波西氏病;由于临床上可能缺乏血管症状,诊断可能会很困难。不同病例的病情发展差异很大,因此在“观察等待”和或多或少的广泛截肢之间不存在标准治疗方法。