The patient is a 30 yrs female who was found to be HIV positive during her pre-natal checkup. Recently she developed pruritic nodules on the chest wall and the limbs. Clinical diagnosis is Prurigo Nodularis or PPE. The histological images show several low and high magnification areas of the lesion with H&E staining (Figures a to f) and a CD34 immunoperoxidase staining (Figure g). We are unable to provide clinical photographs

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Dr. Ghazala Kafeel
Brujnei, India

a. H&E, 4X

b. H&E, 20X

c. H&E, 40x

d. H&E, 20X

e. H&E, 20X

f. H&E, 40X

g. CD-34, 20X

Answers for this case:
Kaposis sarcoma - 5
Mastocytosis - 1
Bacillary angiomatosis - 1

Our final diagnosis: Kaposi's Sarcoma