Q:

A patient presents with purple papular lesions on his face and upper trunk measuring 1-2 cm across. They aren’t painful or itchy. What is the single most likely diagnosis?

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A patient presents with purple papular lesions on his face and upper trunk measuring 1-2 cm across. They aren’t painful or itchy. What is the single most likely diagnosis?


  1. Kaposi’s sarcoma
  2. Hairy leukoplakia
  3. Cryptosporidium
  4. CMV infection
  5. Cryptococcal infection

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The key is A. Kaposis sarcoma. [It is a spindle-cell tumour derived from capillary endothelial cells or from fibrous tissue, caused by human herpes virus. It presents as purple papules (1⁄2 to 1 cm) or plaques on skin and mucosa (any organ). It metastasizes to nodes. OHCM 9th edition, page 716].

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