Wechsler J, Delcourt A, Raphael M, Frances-Michel C, Demay G, Pinaudeau Y, Chomette G
Sem Hop. 1983 Dec 29;59(49):3431-5.
The authors report a case of Kaposi's sarcoma in a 38-year-old Malian. Onset occurred one year after an episode of febrile polyadenopathy with histologic features suggestive of immune dysfunction lymphadenitis. Diagnosis of Kaposi's sarcoma was firmly established only following occurrence of secondary skin lesions. This case exemplifies the diagnostic problems raised by those forms of Kaposi's sarcoma which present as lymph node involvement. In the index case, the authors discuss the significance of the initial polyadenopathy, and speculate whether it was an initial stage of Kaposi's sarcoma or an immune dysfunction lymphadenitis preceding onset of the sarcoma. If the second hypothesis is correct, this case would be comparable to reports of Kaposi's sarcoma arising in hosts with immune dysfunction.
作者报告了一例38岁马里人的卡波西肉瘤病例。发病于一次伴有组织学特征提示免疫功能障碍性淋巴结炎的发热性多腺病发作一年后。仅在出现继发性皮肤病变后才明确诊断为卡波西肉瘤。该病例例证了那些表现为淋巴结受累的卡波西肉瘤形式所引发的诊断问题。在该索引病例中，作者讨论了初始多腺病的意义，并推测它是卡波西肉瘤的初始阶段还是肉瘤发作前的免疫功能障碍性淋巴结炎。如果第二种假设正确，该病例将与免疫功能障碍宿主中发生的卡波西肉瘤报告相当。
