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Pan African Medical Journal

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Lymphadenopathic kaposi sarcoma in an immunocompetent young patient: a case report

Rajae Borki, Sihame Lkhoyaali, Karima Laadam, Sophia Nitassi, Fouad Zouaidia, Basma Elkhannoussi, Hassan Errihani, Anass Benbouzid, Leila Essakalli

Abstract


Kaposi's sarcoma (KS) is a vascular lesion that usually originates from several sites in the mid-dermis extending into the dermis. Infection from human herpes virus type 8 (HHV-8) is the mostly associated cause. Several articles reported cases of KS, first in Africa, then worldwide because of its close association with HIV / AIDS. KS may also be due to iatrogenic immunosuppression of chronic steroid use, high level of expression of many cytokines and angiogenic growth factors. It can involve skin, mucous  membranes, lymph nodes and viscera. We report a case of a 24-year-old immunocompetent, HIV negative male who presented with indolent lymphadenopathy, after adenectomy and histological and immunohistochemical examination revealed a KS. The patient did not have skin lesions. Refusing any other therapy, our patient still lives healthy.This very rare case shows that KS does not always equal immunodeficiency.

 

Key words: Lymphadenopathic, Kaposi sarcoma, immunocompetent




http://dx.doi.org/10.11604/pamj.2017.28.20.7726
AJOL African Journals Online