Pseudo-Kaposi’s sarcoma also known as acroangiodermatitis (AAD) is a benign, uncommon angioproliferative skin disease which affects lower limbs. It is thought to be a reaction pattern to underlying chronic venous failure. We present a 71-year-old woman with unhealing wounds on her right limb, which was bitten by ticks two years ago. Except for the other laboratory examinations which were within the normal limits or negative, the patient’s borrelia IgM was negative and IgG was positive. Based on the clinicopathological evidence, the patient was diagnosed with AAD. The lesions were thought to be associated with chronic borrelia infection, and they were treated with doxycycline. All of the lesions healed three months after the initiation of treatment, leaving atrophic scars. The patient was presented because no case of AAD associated with borrelia infection has been reported in literature.
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