25. Kaposi's sarcoma. Various forms of this malignant condition may occur in leprosy-endemic countries, some of them associated with HIV-AIDS. The lesions shown here are from two different patients. The lesions on the forearm (upper picture) are from a patient who later died of AIDS. The hard bluish, vascular nodules bleed easily. Feet (lower picture) and hands are the commonest site of involvement. Sensation, sweating and peripheral nerves - all normal.
