Classic Kaposi sarcoma (KS) is a sporadic disease that usually affects pers
ons older than 50 years, with a distinct male predominance. Although classi
c KS has a protracted, indolent course, there appears to be a rare dissemin
ated fulminant type. This report describes a case of classic KS, presenting
as a very rapid enlargement and dissemination of skin; lesions, without ev
idence of human immunodeficiency virus (HIV) infection or involvement of ot
her infernal organs.