Chtourou L, Ayedi L, Rejab H, Boudabous M, Mnif L, Grati A, Boudaouara T, Mzali R, Amouri A, Tahri N
Gastroenterology department, Hedi Chaker University Hospital, Sfax, Tunisia.
Histopathology department, Habib Bourguiba University Hospital, Sfax, Tunisia.
Pathologica. 2017 Dec;109(4):371-374.
Kaposi sarcoma is an unusual tumor associated to a human herpes virus-8 infection involving the skin or internal organs. Iatrogenic Kaposi's sarcoma often occurs in patients receiving immunosuppressive therapy. So far, a few Kaposi's sarcoma cases have been reported in the literature associated with inflammatory bowel diseases. We report a 53-year-old male diagnosed with a severe refractory ulcerative colitis who was treated with corticosteroids and azathioprine. The patient underwent a colectomy after the failure of medical treatment. Histological examination of the colon showed findings suggestive of Kaposi's sarcoma. Immunohistochemistry for human herpes virus-8 was positive in the colonic lesions. Correspondence.
卡波西肉瘤是一种与人类疱疹病毒8型感染相关的罕见肿瘤,可累及皮肤或内脏器官。医源性卡波西肉瘤常发生于接受免疫抑制治疗的患者。迄今为止,文献中已有少数卡波西肉瘤病例报道与炎症性肠病相关。我们报告一例53岁男性,诊断为重度难治性溃疡性结肠炎,接受了皮质类固醇和硫唑嘌呤治疗。药物治疗失败后患者接受了结肠切除术。结肠组织学检查结果提示为卡波西肉瘤。结肠病变中人类疱疹病毒8型免疫组化呈阳性。通信。