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在含增强型埃替格韦的固定剂量抗逆转录病毒联合疗法治疗下,硬腭卡波西肉瘤迅速消退。

Rapid regression of Kaposi's sarcoma of the hard palate under therapy with boosted elvitegravir-containing fixdose antiretroviral combination therapy.

作者信息

Schüttfort Gundolf, Wolf Timo, de Leuw Phillip, Kann Gerrit, Blume Maximilian, Brodt Hans-Reinhard, Stephan Christoph

机构信息

Department for Internal Medicine II/Infectious Diseases, Goethe-University Hospital, Frankfurt am Main, Germany.

Department for Orofacial Surgery, Goethe-University Hospital, Frankfurt am Main, Germany.

出版信息

Infection. 2016 Feb;44(1):103-6. doi: 10.1007/s15010-015-0792-8. Epub 2015 May 7.

Abstract

INTRODUCTION

Kaposi's sarcoma (KS) is a rare vascular tumor that may occur in a severe, rapidly progressive form, namely in HIV/AIDS patients. HIV-associated KS mainly affects the skin and mucous membranes.

CASE PRESENTATION

We report about an HIV-positive patient who presented with an exophytic growing tumor in the region of the hard palate and severe problems regarding his dental status. Histological examination revealed evidence of AIDS-related KS. Antiretroviral therapy initiation with elvitegravir/cobicistat/emtricitabine(FTC)/tenofovirdisoproxilfumarat (E/c/F/T-fix dose combination) resulted in rapid complete remission of the KS within 2 months.

CONCLUSION

In this case of a treatment-naive HIV-infected patient with coexisting KS, antiretroviral therapy with E/c/FTC/TDF was very well suited to achieve rapid complete remission of KS.

摘要

引言

卡波西肉瘤(KS)是一种罕见的血管肿瘤,可能以严重、快速进展的形式出现,即在艾滋病毒/艾滋病患者中。与艾滋病毒相关的卡波西肉瘤主要影响皮肤和黏膜。

病例报告

我们报告了一名艾滋病毒阳性患者,其硬腭区域出现外生性生长的肿瘤,并且牙齿状况存在严重问题。组织学检查显示为艾滋病相关的卡波西肉瘤。开始使用埃替拉韦/考比司他/恩曲他滨(FTC)/替诺福韦酯(E/c/F/T固定剂量组合)进行抗逆转录病毒治疗,导致卡波西肉瘤在2个月内迅速完全缓解。

结论

在这个未接受过治疗的合并卡波西肉瘤的艾滋病毒感染患者病例中,使用E/c/FTC/TDF进行抗逆转录病毒治疗非常适合实现卡波西肉瘤的快速完全缓解。

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