The second alert came a month later, again in the CDC newsletter. While Gottlieb was noticing Pneumocystis pneumonia and candidiasis, a New York dermatologist named Alvin E. Friedman-Kien spotted a parallel trend involving a different disease: Kaposi’s sarcoma. A rare form of cancer, not usually too aggressive, Kaposi’s sarcoma was known primarily as an affliction of middle-aged Mediterranean males—the sort of fellows you’d expect to find in an Athens café, drinking coffee and playing dominoes. This cancer often showed itself as purplish nodules in the skin. Within less than three years,
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