We report two patients with ecchymotic patches that did not suggest th
e diagnosis of Kaposi's sarcoma. The principal complaint of one patien
t was facial and periorbital edema with bilateral periorbital ecchymos
is. On his trunk were patches resembling pityriasis rosea-like Kaposi'
s sarcoma. Both types of lesions proved to be Kaposi's sarcoma on hist
ologic examination. The second patient had scattered ecchymotic lesion
s, with typical lesions of Kaposi's sarcoma elsewhere on his body. The
ecchymotic lesions showed a large amount of extravasated red blood ce
lls and no evidence of amyloid. This variant has not been described pr
eviously to our knowledge.