Zapata Laguado Martin Ignacio, Aponte Monsalve Jorge Enrique, Santos Jorge Hernan, Preciado Javier, Mosquera Zamudio Andres, Garza Acosta Cristina
Internal Medicine, Universidad El Bosque, Bogotá, Colombia.
Internal Medicine, Universidad de La Sabana, Bogotá, Colombia.
Case Rep Oncol. 2018 Oct 22;11(3):638-647. doi: 10.1159/000492715. eCollection 2018 Sep-Dec.
Gastrointestinal bleeding in HIV patients secondary to coinfection by HHV8 and development of Kaposi's sarcoma (KS) is a rare complication even if no skin lesions are detected on physical examination. This article indicates which patients might develop this type of clinical sign and also tries to recall that absence of skin lesions never rules out the presence of KS, especially if gastrointestinal involvement is documented. Gastrointestinal bleeding in terms of hematemesis has rarely been reported in the literature. We review some important clinical findings, diagnosis, and treatment approach. We present the case of an HIV patient who presented to the emergency department with hematemesis and gastrointestinal signs of KS on upper gastrointestinal endoscopy without any dermatological involvement.
人类免疫缺陷病毒（HIV）患者因同时感染人类疱疹病毒8型（HHV8）并发展为卡波西肉瘤（KS）而导致胃肠道出血是一种罕见的并发症，即使体格检查未发现皮肤病变。本文指出了哪些患者可能出现这种临床症状，同时也试图提醒人们，没有皮肤病变并不能排除KS的存在，尤其是在有胃肠道受累记录的情况下。关于呕血的胃肠道出血在文献中很少有报道。我们回顾了一些重要的临床发现、诊断和治疗方法。我们报告了一例HIV患者，该患者因呕血到急诊科就诊，上消化道内镜检查显示有KS的胃肠道症状，但无任何皮肤受累表现。
