Mohanna B Salim, Sánchez L Juvenal, Ferrufino Ll Juan Carlos, Bravo P Francisco, Gotuzzo H Eduardo
Grupo de Trabajo Herpes Virus Humano-8 y Sarcoma de Kaposi Clásico, Instituto de Medicina Tropical Alexander von Humboldt, Universidad Peruana Cayetano Heredia, Lima, Perú.
Rev Med Chil. 2007 Sep;135(9):1166-70. doi: 10.4067/s0034-98872007000900011. Epub 2007 Nov 15.
Classic Kaposi s sarcoma (KS) affects lower extremities in older adults, showing a progressive, benign course. It can also involve oral mucosa and gastrointestinal tract with a lower frequency. The involvement of internal organs and lymph nodes is rare, and its primary compromise is even more uncommon. We report an unusual presentation of classic KS in the lymph nodes of three patients. A 46 years old male had a primary involvement of an inguinal lymph node. Dermal involvement appeared one year later. A 58years old male and a 76years old female with simultaneous dermal and lymph node involvement. We conclude that the presence of classic KS in our region is more common than previously considered. Moreover, it must be emphasized that KS in lymph nodes can affect HIV-negative patients or patients without any associated immune deficiency.
经典型卡波西肉瘤(KS)累及老年患者的下肢,呈渐进性良性病程。它也可较少累及口腔黏膜和胃肠道。累及内脏器官和淋巴结的情况罕见,其原发性损害更为少见。我们报告了3例经典型KS在淋巴结中的不寻常表现。一名46岁男性腹股沟淋巴结出现原发性受累。一年后出现皮肤受累。一名58岁男性和一名76岁女性同时出现皮肤和淋巴结受累。我们得出结论,在我们地区经典型KS的存在比之前认为的更为常见。此外,必须强调的是,淋巴结中的KS可影响HIV阴性患者或无任何相关免疫缺陷的患者。