Kaposi’s sarcoma in a HIV-positive patient: an exuberant and widespread case report in the Amazon

Detalhes bibliográficos
Autor(a) principal: Pires, Carla Andrea Avelar
Data de Publicação: 2020
Outros Autores: Monteiro, Julius Caesar Mendes Soares, Rego, Rhyan Meninea, Lodi, Victoria Juliana Campos
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista do Instituto de Medicina Tropical de São Paulo
Texto Completo: https://www.revistas.usp.br/rimtsp/article/view/165890
Resumo: A 37-year-old male patient, Fitzpatrick skin phototype IV, a student living in Belem, Amazon region, in 2015 had a confirmed diagnosis of acquired immunodeficiency virus (HIV) infection, but did not initiate antiretroviral treatment at his own option. Three years after the diagnosis, erythematous maculae appeared on the dorsum of the nose with rapid progression to the entire face, with posterior diffuse infiltration and appearance of nodules on the chin and shoulder. In December 2018, the patient presented with exacerbation of the condition with an increase in infiltrated violaceous plaques and disseminated violaceous nodules. A histopathological biopsy of the skin was performed, confirming the diagnosis of angiomatoid proliferation suggestive of Kaposi’s sarcoma (KS), with an important dissemination of this disease to the noble organs. In addition, it is important to note that he only started antiretroviral therapy (ART) after the exacerbation of Kaposi (December 2018). In such cases, chemotherapy associated with ART is crucial for the treatment and follow-up of the patient, since Kaposi’s sarcoma develops relatively low in patients who do not have immunodeficiency.
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spelling Kaposi’s sarcoma in a HIV-positive patient: an exuberant and widespread case report in the AmazonKaposi’s sarcomaHIVAntiretroviral therapy (ART)A 37-year-old male patient, Fitzpatrick skin phototype IV, a student living in Belem, Amazon region, in 2015 had a confirmed diagnosis of acquired immunodeficiency virus (HIV) infection, but did not initiate antiretroviral treatment at his own option. Three years after the diagnosis, erythematous maculae appeared on the dorsum of the nose with rapid progression to the entire face, with posterior diffuse infiltration and appearance of nodules on the chin and shoulder. In December 2018, the patient presented with exacerbation of the condition with an increase in infiltrated violaceous plaques and disseminated violaceous nodules. A histopathological biopsy of the skin was performed, confirming the diagnosis of angiomatoid proliferation suggestive of Kaposi’s sarcoma (KS), with an important dissemination of this disease to the noble organs. In addition, it is important to note that he only started antiretroviral therapy (ART) after the exacerbation of Kaposi (December 2018). In such cases, chemotherapy associated with ART is crucial for the treatment and follow-up of the patient, since Kaposi’s sarcoma develops relatively low in patients who do not have immunodeficiency.Universidade de São Paulo. Instituto de Medicina Tropical de São Paulo2020-01-22info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/xmlhttps://www.revistas.usp.br/rimtsp/article/view/16589010.1590/s1678-9946202062002Revista do Instituto de Medicina Tropical de São Paulo; Vol. 62 (2020); e2Revista do Instituto de Medicina Tropical de São Paulo; Vol. 62 (2020); e2Revista do Instituto de Medicina Tropical de São Paulo; v. 62 (2020); e21678-99460036-4665reponame:Revista do Instituto de Medicina Tropical de São Pauloinstname:Instituto de Medicina Tropical (IMT)instacron:IMTenghttps://www.revistas.usp.br/rimtsp/article/view/165890/158756https://www.revistas.usp.br/rimtsp/article/view/165890/158757Copyright (c) 2020 Revista do Instituto de Medicina Tropical de São Pauloinfo:eu-repo/semantics/openAccessPires, Carla Andrea AvelarMonteiro, Julius Caesar Mendes SoaresRego, Rhyan MenineaLodi, Victoria Juliana Campos2020-10-26T17:39:25Zoai:revistas.usp.br:article/165890Revistahttp://www.revistas.usp.br/rimtsp/indexPUBhttps://www.revistas.usp.br/rimtsp/oai||revimtsp@usp.br1678-99460036-4665opendoar:2022-12-13T16:52:51.220606Revista do Instituto de Medicina Tropical de São Paulo - Instituto de Medicina Tropical (IMT)true
dc.title.none.fl_str_mv Kaposi’s sarcoma in a HIV-positive patient: an exuberant and widespread case report in the Amazon
title Kaposi’s sarcoma in a HIV-positive patient: an exuberant and widespread case report in the Amazon
spellingShingle Kaposi’s sarcoma in a HIV-positive patient: an exuberant and widespread case report in the Amazon
Pires, Carla Andrea Avelar
Kaposi’s sarcoma
HIV
Antiretroviral therapy (ART)
title_short Kaposi’s sarcoma in a HIV-positive patient: an exuberant and widespread case report in the Amazon
title_full Kaposi’s sarcoma in a HIV-positive patient: an exuberant and widespread case report in the Amazon
title_fullStr Kaposi’s sarcoma in a HIV-positive patient: an exuberant and widespread case report in the Amazon
title_full_unstemmed Kaposi’s sarcoma in a HIV-positive patient: an exuberant and widespread case report in the Amazon
title_sort Kaposi’s sarcoma in a HIV-positive patient: an exuberant and widespread case report in the Amazon
author Pires, Carla Andrea Avelar
author_facet Pires, Carla Andrea Avelar
Monteiro, Julius Caesar Mendes Soares
Rego, Rhyan Meninea
Lodi, Victoria Juliana Campos
author_role author
author2 Monteiro, Julius Caesar Mendes Soares
Rego, Rhyan Meninea
Lodi, Victoria Juliana Campos
author2_role author
author
author
dc.contributor.author.fl_str_mv Pires, Carla Andrea Avelar
Monteiro, Julius Caesar Mendes Soares
Rego, Rhyan Meninea
Lodi, Victoria Juliana Campos
dc.subject.por.fl_str_mv Kaposi’s sarcoma
HIV
Antiretroviral therapy (ART)
topic Kaposi’s sarcoma
HIV
Antiretroviral therapy (ART)
description A 37-year-old male patient, Fitzpatrick skin phototype IV, a student living in Belem, Amazon region, in 2015 had a confirmed diagnosis of acquired immunodeficiency virus (HIV) infection, but did not initiate antiretroviral treatment at his own option. Three years after the diagnosis, erythematous maculae appeared on the dorsum of the nose with rapid progression to the entire face, with posterior diffuse infiltration and appearance of nodules on the chin and shoulder. In December 2018, the patient presented with exacerbation of the condition with an increase in infiltrated violaceous plaques and disseminated violaceous nodules. A histopathological biopsy of the skin was performed, confirming the diagnosis of angiomatoid proliferation suggestive of Kaposi’s sarcoma (KS), with an important dissemination of this disease to the noble organs. In addition, it is important to note that he only started antiretroviral therapy (ART) after the exacerbation of Kaposi (December 2018). In such cases, chemotherapy associated with ART is crucial for the treatment and follow-up of the patient, since Kaposi’s sarcoma develops relatively low in patients who do not have immunodeficiency.
publishDate 2020
dc.date.none.fl_str_mv 2020-01-22
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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dc.identifier.uri.fl_str_mv https://www.revistas.usp.br/rimtsp/article/view/165890
10.1590/s1678-9946202062002
url https://www.revistas.usp.br/rimtsp/article/view/165890
identifier_str_mv 10.1590/s1678-9946202062002
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://www.revistas.usp.br/rimtsp/article/view/165890/158756
https://www.revistas.usp.br/rimtsp/article/view/165890/158757
dc.rights.driver.fl_str_mv Copyright (c) 2020 Revista do Instituto de Medicina Tropical de São Paulo
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2020 Revista do Instituto de Medicina Tropical de São Paulo
eu_rights_str_mv openAccess
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dc.publisher.none.fl_str_mv Universidade de São Paulo. Instituto de Medicina Tropical de São Paulo
publisher.none.fl_str_mv Universidade de São Paulo. Instituto de Medicina Tropical de São Paulo
dc.source.none.fl_str_mv Revista do Instituto de Medicina Tropical de São Paulo; Vol. 62 (2020); e2
Revista do Instituto de Medicina Tropical de São Paulo; Vol. 62 (2020); e2
Revista do Instituto de Medicina Tropical de São Paulo; v. 62 (2020); e2
1678-9946
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collection Revista do Instituto de Medicina Tropical de São Paulo
repository.name.fl_str_mv Revista do Instituto de Medicina Tropical de São Paulo - Instituto de Medicina Tropical (IMT)
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