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卡波西肉瘤。流行病学如何有助于找到病因?

Kaposi's sarcoma. How can epidemiology help find the cause?

作者信息

Drotman D P, Peterman T A, Friedman-Kien A E

机构信息

Division of HIV/AIDS, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.

出版信息

Dermatol Clin. 1995 Jul;13(3):575-82.

PMID:7554505
Abstract

Kaposi's sarcoma (KS) remains the most commonly diagnosed cancer in AIDS patients. Neither the cause nor a cure for AIDS-related KS is known. KS serves as a striking example of how epidemiologists seek the cause of any disease. Epidemiologic analysis of reported KS cases is revealing but not definitive. The leading hypotheses for the cause of AIDS-related KS are an as-yet-unidentified sexually transmitted infectious agent and exposure to inhalant alkyl nitrites, often called poppers. Epidemiology suggests that persons can reduce their risk of KS by avoiding nitrite inhalants and changing behavior to reduce the risk of sexually transmitted infections.

摘要

卡波西肉瘤(KS)仍然是艾滋病患者中最常被诊断出的癌症。艾滋病相关卡波西肉瘤的病因和治愈方法均尚不明确。卡波西肉瘤是流行病学家探寻任何疾病病因的一个典型例子。对已报告的卡波西肉瘤病例进行的流行病学分析虽有启示作用,但并不具有决定性。关于艾滋病相关卡波西肉瘤病因的主要假说是一种尚未确定的性传播感染因子以及接触吸入性亚硝酸烷基酯,后者通常被称为“Poppers”(亚硝酸异戊酯)。流行病学研究表明,人们可以通过避免吸入亚硝酸酯并改变行为以降低性传播感染的风险,从而降低患卡波西肉瘤的风险。

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