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Genital Kaposi sarcoma in a HIV and syphilis co-infected patient: case presentation

BACKGROUND: Kaposi sarcoma, as an epidemiological factor, is associated with acquired immunodeficiency syndrome (AIDS) and it is related to human herpes virus (HHV-8), as well as a higher prevalence in males and non-genital involvement. Vulvar localization is quite infrequent; therefore it may be co...

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Detalles Bibliográficos
Autores principales: Barroso dos Reis, Helena Lucia, de Carvalho Ferreira, Dennis, Tosato Boldrini, Neide Aparecida, Galvão, Carolina, Jacomele Caldas, João Victor, Santos Neves, Marize Freitas, Godefroy, Philippe
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6937675/
https://www.ncbi.nlm.nih.gov/pubmed/31888512
http://dx.doi.org/10.1186/s12879-019-4714-8
Descripción
Sumario:BACKGROUND: Kaposi sarcoma, as an epidemiological factor, is associated with acquired immunodeficiency syndrome (AIDS) and it is related to human herpes virus (HHV-8), as well as a higher prevalence in males and non-genital involvement. Vulvar localization is quite infrequent; therefore it may be considered in the differential diagnosis of genital lesions, especially in HIV patients. CASE PRESENTATION: We describe the atypical presentation of a female HIV patient with multiple comorbidities, with the clinical manifestation of Kaposi sarcoma (KS) in a vulvar region that was initially diagnosed as a syphilitic gumma. The patient underwent a biopsy of the lesion, and histopathology revealed a Kaposi sarcoma. DISCUSSION: This case reinforces that the pathogenesis of Kaposi sarcoma is still unclear and that probably multiple factors, regarding both the virus and the patient characteristics may lead to carcinogenesis. Conclusion: It is imperative to seek more excellent knowledge about this disease, to facilitate the diagnosis, to warrant the appropriate treatment and to improve the prognosis of the patient, especially the genital lesions.