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Facial Lymphedema andoral HIV-associated Kaposi sarcoma

PostPosted: Wed Jun 02, 2010 9:51 am
by patoco
Facial lymphoedema as an indicator of terminal disease in oral HIV-associated Kaposi sarcoma.

SADJ. 2010 Feb

Feller L, Khammissa RA, Wood NH, Jose RJ, Lemmer J.

Department of Periodontology and Oral Medicine, School of Oral Health Sciences, University of Limpopo, Medunsa Campus, South Africa.


Rapidly progressive facial lymphoedema developing concurrently with, or immediately after rapid enlargment of oral Kaposi sarcoma (KS) in HIV-seropositive highly active antiretroviral treatment (HAART)-naïve subjects, foretokens death. We present here an unusual case of HIV-KS in an 11-year-old HIV-seropositive HAART-naïve boy. Our patient's KS disease had had a fulminant course characterised by rapidly progressing oral HIV-KS, resorption of the mandibular alveolar bone process beneath some of the HIV-KS lesions, and rapidly progressive facial lymphoedema. He died 3 weeks after the onset of facial lymphoedema.