Mudau Adziambei, Makhanya Nonjabulo Z, Suleman Farhana E
Department of Radiology, University of Pretoria, South Africa.
SA J Radiol. 2017 Nov 14;21(2):1260. doi: 10.4102/sajr.v21i2.1260. eCollection 2017.
Kaposi sarcoma (KS) is the most common malignancy associated with HIV infection. It usually affects the skin, the gastrointestinal tract and the lungs. It is generally described in the setting of CD4 counts < 150 cells/mm - 200 cells/mm. We describe a case of recurrence of KS with a rare presentation of breast and musculoskeletal involvement in the setting of a CD4 count of 374 cell/mm and an undetectable viral load. The patient was on highly active antiretroviral therapy for 5 years at the time of the second presentation.
卡波西肉瘤(KS)是与HIV感染相关的最常见恶性肿瘤。它通常累及皮肤、胃肠道和肺部。一般在CD4细胞计数<150个细胞/mm³ - 200个细胞/mm³的情况下出现。我们报告一例卡波西肉瘤复发病例,该病例罕见地表现为乳房和肌肉骨骼受累,当时CD4细胞计数为374个细胞/mm³,病毒载量检测不到。第二次就诊时,患者已接受高效抗逆转录病毒治疗5年。