Which test, coronary angiography or colonoscopy?

The present report stresses two main points. The first is the obvious, possibly negative implications of a selective, disease- oriented, physical examination, often forced by time. The second is that diseases such as KS, often perceived as typical of AIDS, can be shared by other conditions of acquired immunodeficiency, particularly organ transplants. KS is a relatively rare disease, yet it may cause Intern Emerg Med (2007) 2:287–290 DOI 10.1007/s11739-007-0079-x P H Y S I C A L E X A M I N AT I O N Please, Sir, pull down your socks! D. Bonucchi • J. Piattoni • F. Ravera • A.M. Savazzi G. Cappelli • N. Pimpinelli • P.A. Modesti D. Bonucchi () • J. Piattoni • F. Ravera A.M. Savazzi • G. Cappelli Nephrology, Dialysis and Renal Transplantation Policlinico Hospital Via del Pozzo 71 I-41100 Modena, Italy e-mail: bonucchi.decenzio@policlinico.mo.it N. Pimpinelli Department of Dermatological Sciences University of Florence Medical School, Florence, Italy P.A. Modesti Department of Critical Care Medicine and Surgery University of Florence Florence, Italy Published online: 23 November 2007 Case report D. Bonucchi, J. Piattoni, F. Ravera, A.M. Savazzi, G. Cappelli A 48-year-old male patient presented at the regular followup visit seven months after a successful kidney transplant. After discussion of blood chemistries with the doctor, the patient underwent a physical examination. As usual, he unbuttoned his shirt and undid his trouser belt. Inspection of the limbs, after pulling up his trousers, confirmed the presence of ankle oedema; the graft was quite firm, with no murmurs in the area. Blood pressure was 140/80 mmHg. Fig. 1 Two nodular lesions of Kaposi’s sarcoma additional immunosuppression, In addition, immunodeficiency can also raise the incidence of more harmful skin cancers, e.g., melanoma (Table 1), whose detection clearly relies on a careful and complete clinical skin examination.