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Cutaneous Kaposi Sarcoma Indicative of HIV/AIDS Infection: Two Cases Report and Review of the Literature at Regional Hospital Centre of Niamey (Niger)

Received: 25 October 2023    Accepted: 21 November 2023    Published: 29 November 2023
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Abstract

Kaposi sarcoma (KS), first described in 1872 by the dermatologist Moricz Cohen Kaposi, is the most common neoplasm of people living with HIV today. Kaposi Sarcoma remains the most common cancer in people living with HIV in sub-Saharan Africa, where it causes significant morbidity and mortality. We report the case of two patients from Niger, aged 43 and 65 years old, who consulted unit of HIV care the Niamey Regional Hospital for an exploration of skin lesions in a context of altered general condition including significant weight loss. The clinical diagnosis of Kaposi's disease on a background of HIV immunodeficiency was retained. The clinical lesions were infiltrating cuteneous bluish nodular skin lesions with macules located on the legs, forearm and abdomen. The treatment consisted in putting the patients on high antiretroviral treatment followed by courses of chemotherapy. The combination of high antiretroviral therapy was started with TDF-3TC-EFV one tablet daily at bedtime. These study show the clinical polymorphism, the diagnostic delay and the treatment including polychemotherapy and antiretroviral drugs. Early diagnosis and detection of lesions could improve management and the prognosis of this disease.

Published in International Journal of Medical Case Reports (Volume 2, Issue 4)
DOI 10.11648/j.ijmcr.20230204.11
Page(s) 24-27
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Cutaneous Kaposi's Disease, HIV/AIDS Disease, ART CHR/Niamey Niger

References
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[2] B. Saka, A. Mouhari-Toure, I. M. Wateba, S. Akakpo, K. Kombaté, A. Balaka, A. Sogan, K. O. Afolabi, P. Pitché, K Tchangaï-Walla, Maladie de Kaposi associée au VIH: 103 observations en dermatologie à Lomé (Togo). Médecine et santé tropicale, Janvier-Février-Mars 2013 Volume 23, numéro 1.
[3] Ndiaye Maodo, Diop Assane, Berthe Siritio, Diallo Moussa, Mjahed Sara Diatta Boubacar Ahy, Diadie Saer, Seck Ndeye Bougoul, Diallo Salimatou, Ndiaye Mame Tene, Niang Suzanne Oumou, Ly Fatimata, Dieng Mame Thierno, Kane Assane, MALADIE DE KAPOSI ENDEMIQUE A DAKAR: ETUDE DE 29 CAS.
[4] C. Francès, C. Lebbé, La maladie de Kaposi: La Lettre du Cancérologue - septembre 2010 • Vol. XIX - n° 7.
[5] Mouna Lamchahab, Bouchra Oukkache, Sofia Marouan, Asmae Quessar, Said Benchekroun, Maladie de kaposi compliquant une aplasie médullaire Pan Afr Med J. 2014; 18: 169.
[6] Martellotta F, Berretta M, Vaccher E, Schioppa O, Zanet E, Tirelli U. AIDS-related Kaposi's sarcoma: state of the art and therapeutic strategies. Curr HIV Res. 2009; 7 (6): 634–8.
[7] P. Philibert, L. Chiche, F. Retornez, M. Delord, S. Rebaudet, C. Stavris, S. Cailleres, J. Allemand, H. Kihri, P. Halfon Sarcome de Kaposi associé au VIH: à propos d’un cas illustrant le caractère protecteur des inhibiteurs de protéase du VIH. La Revue de Médecine Interne Volume 38, Supplement 1, June 2017, Pages A220-A221.
[8] PILLY E. Collège des universitaires de maladies infectieuses et tropicales. In: Pilly E, editor. Infection à VIH et sida. Vivactis plus Ed; 2006. p. 494.
[9] Kristina Narančić-Skorić, Hrvoje Brajčić, Mirjana Sabljar-Matovinović, Tajana Filipec-Kanižaj, Maruška Marušić-Vrsalović, Mladen Knotek, Ingrid Prkačin, Dinko Škegro, Slavko Gašparov. Classic Kaposi’s Sarcoma: A Case Report. Acta Dermatovenerol Croat 2005; 13 (1) 22-27.
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[11] Shehzeen Fatima Memon_, Anosh Aslam Khan_, Yasir Ahmad Khan_ and Hafsa Mahmood. Classic Kaposi’s Sarcoma in an exclusively cutaneous exhibition. International Journal of Medical Reviews and Case Reports (2019) 3 (9): 620-623.
[12] David Sandoval Sanchez, Estanislao Antonio Calixto, Roberto Peralta Juárez, Marcos, García Aranda, Rolando Castellanos Villalobos, Jessica Ariatna Carreto Navarrete. Extensive Kaposi's sarcoma in a Patient with Acquired Immunodeficiency Syndrome: Case International. Journal of Medical Science and Clinical Research Studies, Report Volume 03 Issue 01 Janaury 2023 Page No: 68-70. DOI: https://doi.org/10.47191/ijmscrs/v3-i1-14
[13] Ujjwal Joshi, Denny E Ceena, Ravikiran Ongole, KN Sumanth, Karen Boaz, K Jeena Priya, N Srikant. AIDS Related Kaposi’s Sarcoma presenting with Palatal and Eyelid Nodule. JAPI july 2012 VOL. 60.
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Cite This Article
  • APA Style

    Sani, K., Amadou Mahaman Laouali, H., Almoustapha Amadou, D., Abdoul Azize, G., Ibrahim Alkassoum, S., et al. (2023). Cutaneous Kaposi Sarcoma Indicative of HIV/AIDS Infection: Two Cases Report and Review of the Literature at Regional Hospital Centre of Niamey (Niger). International Journal of Medical Case Reports, 2(4), 24-27. https://doi.org/10.11648/j.ijmcr.20230204.11

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    ACS Style

    Sani, K.; Amadou Mahaman Laouali, H.; Almoustapha Amadou, D.; Abdoul Azize, G.; Ibrahim Alkassoum, S., et al. Cutaneous Kaposi Sarcoma Indicative of HIV/AIDS Infection: Two Cases Report and Review of the Literature at Regional Hospital Centre of Niamey (Niger). Int. J. Med. Case Rep. 2023, 2(4), 24-27. doi: 10.11648/j.ijmcr.20230204.11

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    AMA Style

    Sani K, Amadou Mahaman Laouali H, Almoustapha Amadou D, Abdoul Azize G, Ibrahim Alkassoum S, et al. Cutaneous Kaposi Sarcoma Indicative of HIV/AIDS Infection: Two Cases Report and Review of the Literature at Regional Hospital Centre of Niamey (Niger). Int J Med Case Rep. 2023;2(4):24-27. doi: 10.11648/j.ijmcr.20230204.11

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  • @article{10.11648/j.ijmcr.20230204.11,
      author = {Kadri Sani and Harouna Amadou Mahaman Laouali and Djibrilla Almoustapha Amadou and Garba Abdoul Azize and Salifou Ibrahim Alkassoum and Daou Mamane},
      title = {Cutaneous Kaposi Sarcoma Indicative of HIV/AIDS Infection: Two Cases Report and Review of the Literature at Regional Hospital Centre of Niamey (Niger)},
      journal = {International Journal of Medical Case Reports},
      volume = {2},
      number = {4},
      pages = {24-27},
      doi = {10.11648/j.ijmcr.20230204.11},
      url = {https://doi.org/10.11648/j.ijmcr.20230204.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijmcr.20230204.11},
      abstract = {Kaposi sarcoma (KS), first described in 1872 by the dermatologist Moricz Cohen Kaposi, is the most common neoplasm of people living with HIV today. Kaposi Sarcoma remains the most common cancer in people living with HIV in sub-Saharan Africa, where it causes significant morbidity and mortality. We report the case of two patients from Niger, aged 43 and 65 years old, who consulted unit of HIV care the Niamey Regional Hospital for an exploration of skin lesions in a context of altered general condition including significant weight loss. The clinical diagnosis of Kaposi's disease on a background of HIV immunodeficiency was retained. The clinical lesions were infiltrating cuteneous bluish nodular skin lesions with macules located on the legs, forearm and abdomen. The treatment consisted in putting the patients on high antiretroviral treatment followed by courses of chemotherapy. The combination of high antiretroviral therapy was started with TDF-3TC-EFV one tablet daily at bedtime. These study show the clinical polymorphism, the diagnostic delay and the treatment including polychemotherapy and antiretroviral drugs. Early diagnosis and detection of lesions could improve management and the prognosis of this disease.
    },
     year = {2023}
    }
    

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    T1  - Cutaneous Kaposi Sarcoma Indicative of HIV/AIDS Infection: Two Cases Report and Review of the Literature at Regional Hospital Centre of Niamey (Niger)
    AU  - Kadri Sani
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    AB  - Kaposi sarcoma (KS), first described in 1872 by the dermatologist Moricz Cohen Kaposi, is the most common neoplasm of people living with HIV today. Kaposi Sarcoma remains the most common cancer in people living with HIV in sub-Saharan Africa, where it causes significant morbidity and mortality. We report the case of two patients from Niger, aged 43 and 65 years old, who consulted unit of HIV care the Niamey Regional Hospital for an exploration of skin lesions in a context of altered general condition including significant weight loss. The clinical diagnosis of Kaposi's disease on a background of HIV immunodeficiency was retained. The clinical lesions were infiltrating cuteneous bluish nodular skin lesions with macules located on the legs, forearm and abdomen. The treatment consisted in putting the patients on high antiretroviral treatment followed by courses of chemotherapy. The combination of high antiretroviral therapy was started with TDF-3TC-EFV one tablet daily at bedtime. These study show the clinical polymorphism, the diagnostic delay and the treatment including polychemotherapy and antiretroviral drugs. Early diagnosis and detection of lesions could improve management and the prognosis of this disease.
    
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Author Information
  • Internal Medicine Unit, Regional Hospital Centre of Niamey, Niamey, Niger

  • Infectious Diseases Unit, Faculty of Health Sciences, Dan Dicko Dan Koulodo University, Maradi, Niger

  • Internal Medicine Unit, Faculty of Health Sciences, ABDOU Moumouni Niamey University, Niamey, Niger

  • Internal Medicine Unit, Zinder National Hospital, Faculty of Health Sciences, University of Zinder, Zinder, Niger

  • Internal Medicine Unit, Faculty of Health Sciences, ABDOU Moumouni Niamey University, Niamey, Niger

  • Internal Medicine Unit, Faculty of Health Sciences, ABDOU Moumouni Niamey University, Niamey, Niger

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