scholarly journals Conjunctival Kaposi’s sarcoma as the initial manifestation of acquired inmunodeficiency syndrome

2013 ◽  
Vol 5 (2) ◽  
pp. 265-267 ◽  
Author(s):  
Carlos Izquierdo Rodriguez ◽  
JM Cordova

Introduction: Kaposi’s sarcoma is a common neoplasm in patients with acquired immunodeficiency syndrome (AIDS). Its presentation as an initial manifestation of AIDS is very rare . Objective: To report a rare case with Kaposi’s’s sarcoma as an initial manifestation of AIDS. Case: We report the case of a 37-year-old man who was a parenteral drug addict, HIV seropositive and was not under any treatment with a conjunctival lesion which was diagnosed as Kaposi’s sarcoma after surgical resection. Conjunctival Kaposi’s sarcoma is present frequently in HIV patients and lesions may be mistaken with other conjunctival lesions. Nepal J Ophthalmol 2013; 5(10): 265-267 DOI: http://dx.doi.org/10.3126/nepjoph.v5i2.8741

1997 ◽  
Vol 106 (7) ◽  
pp. 563-567 ◽  
Author(s):  
Neil F. Schiff ◽  
Peak Woo ◽  
Donald J. Annino ◽  
Stanley M. Shapshay

Kaposi's sarcoma (KS) is a neoplastic vascular disorder, classically arising in the skin of the lower extremities. As a consequence of the acquired immunodeficiency syndrome (AIDS) epidemic, an increasing number of patients have been found to have KS. In AIDS patients, KS appears to exhibit a more diffuse nature and frequently affects the head and neck. Mucosal lesions are most often seen, commonly involving the oral cavity. Only rare cases of laryngeal involvement have been recorded in the literature. We report 2 cases of KS of the supraglottic larynx. Our first patient, an elderly man of Mediterranean descent, complained of voice change and throat discomfort. Endoscopy with biopsy for diagnosis allowed conservative treatment with chemotherapy. Our second patient was a younger man with AIDS who presented with symptoms of airway obstruction. Management with carbon dioxide laser epiglottectomy was successful in relieving that patient's symptoms. Although rare, KS may present in both healthy and immunocompromised patients, and must be considered in the differential diagnosis of all violaceous lesions of the larynx.


Ophthalmology ◽  
1983 ◽  
Vol 90 (8) ◽  
pp. 879-884 ◽  
Author(s):  
Abe M. Macher ◽  
Alan Palestine ◽  
Henry Masur ◽  
Gail Bryant ◽  
Chi-Chao Chan ◽  
...  

1986 ◽  
Vol 4 (4) ◽  
pp. 544-551 ◽  
Author(s):  
F X Real ◽  
H F Oettgen ◽  
S E Krown

The efficacy of recombinant leukocyte A interferon (rIFN-alpha A [Roferon-A, Hoffman-La Roche, Nutley, NJ]) treatment of Kaposi's sarcoma in patients with acquired immunodeficiency syndrome was evaluated in sequential trials using high doses (36 X 10(6) units) and low doses (3 X 10(6) units) of interferon. A major response was seen in 38% of patients treated at the high dose, with a median response duration of 18 months. At the low dose, the major response rate was 3%; dose escalation to 36 X 10(6) units resulted in an additional major response rate of 17% in low-dose nonresponders, with a median response duration of 10 months. Four of 11 patients who achieved a complete response remain free of disease, whereas all partial responders have shown disease progression. Unacceptable toxicity occurred in 27% of patients initially treated at the high dose and only in 10% of those who had progressive dose escalation up to 36 X 10(6) units. Prior opportunistic infections correlated negatively with therapeutic response, whereas large tumor burden and gastrointestinal involvement did not. Responding patients showed a significantly longer survival and a lower incidence of subsequent opportunistic infections than nonresponders. However, from our study we cannot determine whether rIFN-alpha A has an effect on the natural history of Kaposi's sarcoma in patients with the acquired immunodeficiency syndrome.


1992 ◽  
Vol 59 (6) ◽  
pp. 80-83
Author(s):  
M. Guy ◽  
D. Singer ◽  
Y. Arieli ◽  
S. Eisenkfraft

We report two cases of primary Kaposi's sarcoma limited to the glans penis. In circumcised men the basic lesion appears as a reddish-violet nodule. The patients denied homosexuality, drug abuse or blood transfusion. Excision of the lesion with wide margins and radiotherapy was adequate therapy. Serological investigations for HIV were all negative. At two years and one year after operation the patients are well with normal serology.


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