Year 2022 / Volume 114 / Number 6
Digestive Diseases Image
Kaposi’s sarcoma with atypical gastrointestinal involvement

350-351

DOI: 10.17235/reed.2021.8275/2021

Isabel Garrido, João Pacheco, Rosa Coelho, Guilherme Macedo,

Abstract
A 31-year-old human immunodeficiency virus (HIV) positive male presented with weight loss, asthenia and anorexia of three weeks evolution. On physical exam, the patient had painless purple-colored papules on the trunk and upper limbs. Laboratory studies showed severe immunosuppression, with an absolute CD4 cell count of 114 cell/ul and HIV1-RNA level of 180,000 copies/ml. Esophagogastroduodenoscopy showed an exophytic lesion in the distal esophagus composed of three polyps and multiple flat and nodular maculopapular erythematous lesions in the gastric body, antrum and duodenum. Colonoscopy was also performed and identified several flat erythematous lesions in the colorectal mucosa. A neoplasm composed of small irregular vascular channel proliferation and spindled endothelial cells with minimal atypia was observed in all the esophageal, gastric, duodenal, colic and skin biopsies.
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References
Silva M, Maia T, Macedo G. Upper Gastrointestinal Kaposi's Sarcoma in an HIV-Infected Patient. GE Port J Gastroenterol. 2016 Apr 6;23(6):316-318.
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Tejedor-Tejada J, Núñez Rodríguez H, Madrigal Rubiales B, et al. Kaposi sarcoma involving gastrointestinal tract in VIH. Dig Liver Dis. 2020 Feb;52(2):238-239.
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Garrido I, Pacheco J, Coelho R, Macedo G. Kaposi’s sarcoma with atypical gastrointestinal involvement. 8275/2021


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Publication history

Received: 11/08/2021

Accepted: 29/08/2021

Online First: 02/09/2021

Published: 07/06/2022

Article revision time: 3 days

Article Online First time: 22 days

Article editing time: 300 days


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