Kaposi’s sarcoma in a HIV-positive patient: an exuberant and widespread case report in the Amazon
Autor(a) principal: | |
---|---|
Data de Publicação: | 2020 |
Outros Autores: | , , |
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. |
id |
IMT-1_4fb965e54a17f65490813972de063d7c |
---|---|
oai_identifier_str |
oai:revistas.usp.br:article/165890 |
network_acronym_str |
IMT-1 |
network_name_str |
Revista do Instituto de Medicina Tropical de São Paulo |
repository_id_str |
|
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 info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
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 |
dc.format.none.fl_str_mv |
application/pdf application/xml |
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 0036-4665 reponame:Revista do Instituto de Medicina Tropical de São Paulo instname:Instituto de Medicina Tropical (IMT) instacron:IMT |
instname_str |
Instituto de Medicina Tropical (IMT) |
instacron_str |
IMT |
institution |
IMT |
reponame_str |
Revista do Instituto de Medicina Tropical de São Paulo |
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) |
repository.mail.fl_str_mv |
||revimtsp@usp.br |
_version_ |
1798951652649074688 |