Important note: Information in this article was accurate in 1987. The state of the art may have changed since the publication date.
[ACQUIRED IMMUNODEFICIENCY SYNDROME WITH KAPOSI'S SARCOMA]
Rev Argent Dermatol; 66(3):201-8 1985. Unique Identifier : AIDSLINE ICDB/87630096 San Martin MS; Blasina EN; Abulafia J; Pezzi H; Hospital Gral. de Agudos J.M. Penna., Argentina
Abstract:
A 38-yr-old homosexual male with a history of drug abuse and venereal disease (syphilis and gonorrhea) developed alternating constipation and diarrhea, as well as skin lesions involving the entire body except for the hands and one foot, during a prolonged stay in New York. These symptoms worsened over a 7-mo period, and his general condition also began to deteriorate. Dermatological examination of the skin lesions suggested Kaposi's sarcoma, and an immunological profile suggestive of acquired immunodeficiency syndrome (AIDS) was obtained. There was extensive involvement of the oral and nasal mucosae and the gastrointestinal tract, in addition to the Kaposi skin lesions. The patient developed anemia and respiratory complications requiring hospitalization, became comatose and died on the fifth day. The general features of AIDS, its incidence and risk factors are reviewed. The pathological profile of Kaposi's sarcoma is discussed, particularly the increased aggressiveness observed in immunocompromised patients. The question of whether the clinical picture observed in AIDS, with its opportunistic infections, really represents a new disease caused by a new or mutant virus or whether it represents a constellation of symptoms caused by latent infections which are activated and worsened by the patient's immunocompromised state is considered. (40 Refs)
Keywords: Acquired Immunodeficiency Syndrome/*COMPLICATIONS/ETIOLOGY/ PATHOLOGY Adult Case Report Gastrointestinal Neoplasms/*ETIOLOGY/PATHOLOGY Gonorrhea/COMPLICATIONS Homosexuality Human Male Risk Sarcoma, Kaposi's/*ETIOLOGY/PATHOLOGY Skin Neoplasms/*ETIOLOGY/PATHOLOGY Substance Abuse/COMPLICATIONS Syphilis/COMPLICATIONS JOURNAL ARTICLE
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