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Mbamulu V, Otokpa GA, Ukonu BA, Ibekwe PU. Disseminated AIDS-associated Kaposi sarcoma without cutaneous involvement: a case report and review of literature. Int Cancer Conf J 2024; 13:245-249. [PMID: 38962034 PMCID: PMC11217218 DOI: 10.1007/s13691-024-00671-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2023] [Accepted: 03/05/2024] [Indexed: 07/05/2024] Open
Abstract
Disseminated AIDS-associated Kaposi sarcoma (KS) without cutaneous lesions is rare and can present in varying ways. Diagnosis is even more challenging now when incidence of KS is on the decline. A high index of suspicion is required for early diagnosis and treatment. Therefore, the medical literature should be made aware of any manifestations of KS that can occur without the typical cutaneous lesions. A 23-year-old presented with worsening cervical lymphadenopathy, recurrent cough and bilateral leg swelling of a month duration. Examination revealed features of pericardial effusion, pulmonary fibrosis, necrotizing cervical lymphadenopathy and the presence of pityriasis rotunda at the periumbilical region. Patient was diagnosed human immunodeficiency virus (HIV) positive 6 months before she presented and was placed on antiretroviral therapy. Histology confirmed AIDS-associated KS. However, patient died before commencement of chemotherapy. The clinical course of disseminated AIDS-associated KS without cutaneous lesions can be atypical and aggressive. It is important to include KS in the differential diagnosis of cases with atypical or persistence/recurrence of clinical symptoms in spite of treatment especially in HIV patients.
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Affiliation(s)
- Vera Mbamulu
- Dermatology Unit, Department of Internal Medicine, University of Abuja Teaching Hospital, Gwagwalada, Abuja, Nigeria
| | - Grace A. Otokpa
- Dermatology Unit, Department of Internal Medicine, University of Abuja Teaching Hospital, Gwagwalada, Abuja, Nigeria
| | - Bob A. Ukonu
- Dermatology Unit, Department of Internal Medicine, Faculty of Clinical Sciences, University of Abuja, Abuja, Nigeria
| | - Perpetua U. Ibekwe
- Dermatology Unit, Department of Internal Medicine, Faculty of Clinical Sciences, University of Abuja, Abuja, Nigeria
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Chamli A, Kouki C, Belhadj O, Helal I, Hammami H, Fenniche S, Zaouak A. Pityriasis rotunda associated with hepatocellular carcinoma. J Eur Acad Dermatol Venereol 2023; 37:e1438-e1440. [PMID: 37458682 DOI: 10.1111/jdv.19353] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2023] [Accepted: 07/12/2023] [Indexed: 07/25/2023]
Affiliation(s)
- Amal Chamli
- "Genodermatoses and Cancers LR12SP03", Dermatology Department, Habib Thameur Hospital, Tunis, Tunisia
- Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - Chaima Kouki
- "Genodermatoses and Cancers LR12SP03", Dermatology Department, Habib Thameur Hospital, Tunis, Tunisia
- Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - Oumaima Belhadj
- "Genodermatoses and Cancers LR12SP03", Dermatology Department, Habib Thameur Hospital, Tunis, Tunisia
- Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - Imen Helal
- Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
- Anatomopathology Department, Habib Thameur Hospital, Tunis, Tunisia
| | - Houda Hammami
- "Genodermatoses and Cancers LR12SP03", Dermatology Department, Habib Thameur Hospital, Tunis, Tunisia
- Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - Samy Fenniche
- "Genodermatoses and Cancers LR12SP03", Dermatology Department, Habib Thameur Hospital, Tunis, Tunisia
- Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - Anissa Zaouak
- "Genodermatoses and Cancers LR12SP03", Dermatology Department, Habib Thameur Hospital, Tunis, Tunisia
- Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
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