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Immunocompromised patient with reddish/purple papules/friable pedunculated or or nodular lesions, systemic symptoms, and liver/CNS/bone involvement? Tx?

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Final answer:

The question is about Kaposi's sarcoma in immunocompromised patients, presenting with reddish/purple lesions and systemic symptoms. Treatment focuses on managing underlying immunocompromise and includes chemotherapy, radiotherapy, and antiretroviral therapy for those with HIV/AIDS.

Step-by-step explanation:

The subject of the question seems to be Kaposi's sarcoma, a type of cancer that often affects immunocompromised patients, such as those with HIV/AIDS. The reddish/purple papules or nodular lesions that are described can be characteristic skin manifestations of this disease, which can also disseminate to other body systems such as the liver, central nervous system (CNS), and bones. The systemic symptoms mentioned, such as fever, weight loss, and fatigue, can accompany the lesions.

Treatment for Kaposi's sarcoma typically includes managing the underlying immunocompromised state, for example, by starting antiretroviral therapy in patients with HIV. Additionally, specific therapy for Kaposi's sarcoma can include chemotherapy, local radiotherapy, or surgical excision for localized lesions. Systemic treatments may be warranted in the case of more extensive disease.

In the more general context provided by the additional information, it's important to address the underlying immunosuppression and consider specific treatments based on the exact diagnoses, such as antifungals for a disseminated Coccidioides infection or antibiotics for infections like rat-bite fever or cat-scratch disease, the latter leading to bacillary angiomatosis in immunocompromised patients.

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