Objective: To investigate the clinical and histopathological features of ocular adnexal Kaposi's sarcoma.
Methods: 12 consecutive cases of ocular adnexal Kaposi's sarcoma confirmed histopathologically were retrospectively analyzed from Ndola Central Hospital of Zambia in January, 1995-May, 1996. Histopathologic sections of 6 cases were reviewed.
Results: Among the 12 patients who were all young African males, the serum samples of 4 patients showed positive for human immunodeficiency virus (HIV) test. Most patients had acquired immunodeficiency virus syndrome (AIDS) related symptoms.
Conclusions: Ocular adnexal Kaposi's sarcoma is a common ocular manifestation in AIDS and may be the first sign. It is classified into three stages clinically and histopathologically, that is a continuous process.