A couple of interesting dermatology cases. The first is an older man with AIDS who has developed a cancer that is associated with HIV infection called Kaposi’s sarcoma. I did not ever see it in the United States, but even a Clinical Officer just starting in practice in Kenya can recognize it. They still confirm it with biopsy, but most know it when they see it.

The next is a sad case of a very young boy whose skin is hardening with an autoimmune disease called scleroderma. This is also diagnosed with a biopsy, but when it is as advanced as this case, you know it when you see it. As it progresses you will often have to amputate the affected extremities. I am not sure there is much hope for improvement for this young child.