Images in HIV/AIDS. Elephantiasis nostras verrucosa secondary to Kaposi sarcoma: a rare case.

A 52-year-old woman presented with a 2-year history of progressive bilateral lower extremity edema and increasing pain. The patient complained of shortness of breath, productive cough, and rash on the upper extremities and torso for the past year. The patient was afebrile with stable vital signs. She had violet plaques on her upper extremities and torso. She also had severe woody edema with verrucous changes on her bilateral lower extremities (Figures 1 and 2). She was anemic, with a hemoglobin level of 9 g/dL. Results of rapid testing for HIV antibody were positive.