Iatrogenic colorectal Kaposi's sarcoma complicating a refractory ulcerative colitis in a human immunodeficiency negative-virus patient

Pathologica. 2017 Dec;109(4):371-374.

Abstract

Kaposi sarcoma is an unusual tumor associated to a human herpes virus-8 infection involving the skin or internal organs. Iatrogenic Kaposi's sarcoma often occurs in patients receiving immunosuppressive therapy. So far, a few Kaposi's sarcoma cases have been reported in the literature associated with inflammatory bowel diseases. We report a 53-year-old male diagnosed with a severe refractory ulcerative colitis who was treated with corticosteroids and azathioprine. The patient underwent a colectomy after the failure of medical treatment. Histological examination of the colon showed findings suggestive of Kaposi's sarcoma. Immunohistochemistry for human herpes virus-8 was positive in the colonic lesions. Correspondence.

Keywords: Corticosteroids; Human Herpes Virus-8; Iatrogenic; Immunosuppression; Kaposi’s Sarcoma; Ulcerative colitis.

Publication types

  • Case Reports

MeSH terms

  • Adrenal Cortex Hormones / therapeutic use
  • Azathioprine / therapeutic use
  • Colectomy
  • Colitis, Ulcerative / drug therapy*
  • Colitis, Ulcerative / pathology
  • Colitis, Ulcerative / surgery
  • Colorectal Neoplasms / diagnosis*
  • Colorectal Neoplasms / pathology
  • Colorectal Neoplasms / surgery
  • Herpesvirus 8, Human / genetics
  • Herpesvirus 8, Human / isolation & purification*
  • Humans
  • Iatrogenic Disease
  • Immunohistochemistry
  • Immunosuppression Therapy
  • Immunosuppressive Agents / therapeutic use
  • Male
  • Middle Aged
  • Sarcoma, Kaposi / diagnosis*
  • Sarcoma, Kaposi / pathology
  • Sarcoma, Kaposi / surgery

Substances

  • Adrenal Cortex Hormones
  • Immunosuppressive Agents
  • Azathioprine