Kim Tae Hyung, Wee Syeo Young, Jeong Hyun Gyo, Choi Hwan Jun
Department of Plastic and Reconstructive Surgery, Soonchunhyang University Gumi Hospital, Soonchunhyang University College of Medicine, Gumi, Republic of Korea.
Department of Plastic and Reconstructive Surgery, Soonchunhyang University Cheonan Hospital, Soonchunhyang University College of Medicine, Cheonan, Republic of Korea.
Arch Plast Surg. 2022 May 27;49(3):457-461. doi: 10.1055/s-0042-1748664. eCollection 2022 May.
Kaposi's sarcoma (KS) is a cancer that causes patches of abnormal tissue to grow under the skin. It also occurs in the immunosuppressive population. KS is currently believed to be caused by infection with human herpes virus-8 (HHV-8) in non-human immunodeficiency virus patient. A 79-year-old female visited the outpatient clinic presenting with increasing number and size of palpable masses on both upper and lower extremities. She was first diagnosed as drug-erupted dermatitis and stopped her medications, but the symptoms got worse. We did partial biopsy, and KS with HHV-8 was diagnosed histopathologically. She planned to undergo further evaluations and proper treatments. This rare case suggests the need to consider a classic type of KS in the differential diagnosis of specific dermatologic symptoms such as macular, nodular, and darkish patches of upper or lower extremities in elderly patients. It is believed that this case helps to strengthen awareness of this rare disease.
卡波西肉瘤（KS）是一种会导致皮肤下生长出异常组织斑块的癌症。它也会出现在免疫抑制人群中。目前认为，在非人类免疫缺陷病毒患者中，KS是由人类疱疹病毒8型（HHV-8）感染引起的。一名79岁女性前往门诊就诊，其上下肢可触及肿块的数量和大小均不断增加。她最初被诊断为药物性皮疹性皮炎并停用了药物，但症状却加重了。我们进行了部分活检，经组织病理学诊断为伴有HHV-8的KS。她计划接受进一步评估和适当治疗。这一罕见病例表明，在对老年患者上下肢出现的斑疹、结节及深色斑块等特定皮肤症状进行鉴别诊断时，有必要考虑经典型KS。据信，该病例有助于增强对这种罕见疾病的认识。
