HIV-associated Kaposi sarcoma: pathogenesis and therapy
J Dtsch Dermatol Ges. 2007 Dec;5(12):1091-4.
doi: 10.1111/j.1610-0387.2007.06567.x.
Epub 2007 Oct 18.
[Article in
English,
German]
Affiliation
- 1 Department of Dermatology and Allergy, St. Josef Hospital, Ruhr-University Bochum, Germany.
Abstract
While classical Kaposi sarcoma is a slowly progressing tumor, AIDS-related Kaposi sarcoma is much more aggressive. After introduction of antiretroviral therapy and with the use of well- tolerated chemotherapeutic agents, complete remission of the tumor can be achieved. Local therapeutic options include excision, cryosurgery, radiation and alitretinoin gel. In 45 % of patients with more than 400/microl CD4+ lymphocytes, interferon-alpha induces complete remission. New concepts of pathogenesis lead to therapeutic targets, such as inhibition of angiogenesis.
Publication types
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Research Support, Non-U.S. Gov't
-
Review
MeSH terms
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Acquired Immunodeficiency Syndrome / complications*
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Acquired Immunodeficiency Syndrome / diagnosis
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Acquired Immunodeficiency Syndrome / therapy
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Adult
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Anti-HIV Agents / therapeutic use
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Combined Modality Therapy
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Diagnosis, Differential
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Herpesvirus 8, Human / pathogenicity
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Humans
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Risk Factors
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Sarcoma, Kaposi / diagnosis
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Sarcoma, Kaposi / etiology*
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Sarcoma, Kaposi / therapy
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Skin Neoplasms / diagnosis
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Skin Neoplasms / etiology*
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Skin Neoplasms / therapy
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Virulence