41 year old African American women, imigrant from South Africa 20 years ago, with no medical history at this Institution, presented to the ER with worsenning respiratory distress, abdominal pain, diffuse pulmonary infiltrates and generalized violaceous cutaneous nodules.

Skin biopsy was performed and submited to evaluate for a possible Kaposi sarcoma.

The patient repidly declined and passed away 3 hours after admission.