Clinical Quiz
The Hong Kong Practitioner VOLUME 29 / May 2007

An elderly man presenting with bruise-like scalp lesions
Stanley C K Ho ¦ó¥¿­è


A monthly clinical quiz is published in The Hong Kong Practitioner. Readers are invited to participate and a prize draw, sponsored by Pfizer Corporation Hong Kong Limited, will be undertaken among the successful entries each month. For entry into the draw, simply answer the question, fill in the reply slip and return it to the College by 25 June, 2007. Each reader is allowed to submit one entry only. The name of the winner and the answer will be published in the June issue.

Clinical history:

A 73-year old gentleman presented with a one-year history of persistent bruise-like lesions on the scalp. These had gradually increased in size. There had been no history of trauma and the lesions were asymptomatic.
The slide and the question were prepared by:
Dr Stanley C K Ho,
MRCP(UK), FHKCP, FHKAM(Med)
Medical Officer,
Social Hygiene Service, PHSB, DH.

What is the most likely diagnosis?

A. Kaposi sarcoma
B. Ecchymosis
C. Angiosarcoma
D. Vasculitis

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