Kaposi’s Sarcoma (KS) is a generalized angio-sarcoma caused by the Human Herpes Virus type 8 (HHV-8).
Infection by the Human Immunodeficiency Virus (HIV) has been shown to predispose to the development of
KS. The commonest location of KS lesions include the skin of the lower limbs, hard palate and gastrointestinal
system, lymph nodes and lungs. The occurrence of KS on the eye is considered rare. We report a case of a 45 year
old HIV positive female patient who presented with bilateral eyelid KS as the first manifestation of systemic KS.
Excisional biopsies were done on both eyelids. The histology showed fascicles of spindle cells and extravasation
of red blood cells. A histological diagnosis of bilateral eyelid KS was made.
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