Patow C A, Steis R, Longo D L, Reichert C M, Findlay P A, Potter D, Masur H, Lane H C, Fauci A S, Macher A M
Otolaryngol Head Neck Surg. 1984 Jun;92(3):255-60. doi: 10.1177/019459988409200302.
Since 1981 a new syndrome of acquired immune deficiency (AIDS) has been recognized. Male homosexuals, male and female intravenous drug abusers, and recipients of blood products (i.e., hemophiliacs) appear to be the populations at risk. The syndrome has been manifested by community-acquired opportunistic infections and/or Kaposi's sarcoma (KS). Otolaryngologic manifestations of AIDS are not infrequent. Thirteen AIDS patients at the National Institutes of Health with KS of the head and neck region are presented. All 13 patients were homosexual or bisexual males. Nine initially presented with KS, five with KS of the head or neck. As a group the patients demonstrated lesions involving the oropharyngeal, tracheobronchial, and gastrointestinal regions. Their clinical course and complications are presented in detail. The mortality rate in this subgroup of AIDS patients is extraordinarily high (62%), with an average longevity of 11 months following initial diagnosis.
自1981年以来,一种新的获得性免疫缺陷综合征(艾滋病)已被确认。男性同性恋者、男性和女性静脉注射毒品者以及血液制品接受者(即血友病患者)似乎是高危人群。该综合征表现为社区获得性机会性感染和/或卡波西肉瘤(KS)。艾滋病的耳鼻喉科表现并不罕见。本文介绍了美国国立卫生研究院的13例头颈部患有卡波西肉瘤的艾滋病患者。所有13例患者均为同性恋或双性恋男性。9例最初表现为卡波西肉瘤,5例表现为头颈部卡波西肉瘤。作为一个群体,这些患者的病变累及口咽、气管支气管和胃肠道区域。详细介绍了他们的临床病程和并发症。这一亚组艾滋病患者的死亡率极高(62%),初次诊断后的平均生存期为11个月。