Kaposi's sarcoma is a unique neoplasm which has emerged as an importan
t element of AIDS in homosexuals but not in others at high risk for AI
DS. The biology of this important tumor may be related to cytokines se
creted by HIV-infected cells and/or by Kaposi's sarcoma cells themselv
es. We report 3 patients with multiple keloid-like tumors. These lesio
ns proved to be Kaposi's sarcoma histologically, yet with a unique kel
oidal component. This variant has not been described previously. It is
possible that cytokines that stimulate Kaposi's sarcoma cell growth m
ay also stimulate proliferation of local fibroblasts to produce this v
ariant.