Pulmonary Kaposi’s Sarcoma and Its Complications in the HAART Era: A Contemporary Case-Based Review

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• 作者：Oleg Epelbaum ; Ronaldo Go ; Geminikumar Patel ; Sidney Braman
• 关键词：Kaposi’s sarcoma ; AIDS ; Chylothorax ; Chylopericardium ; Diffuse alveolar hemorrhage ; Immune reconstitution inflammatory syndrome
• 刊名：Lung
• 出版年：2016
• 出版时间：February 2016
• 年：2016
• 卷：194
• 期：1
• 页码：163-169
• 全文大小：1,061 KB
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• 作者单位：Oleg Epelbaum (1)
  Ronaldo Go (2)
  Geminikumar Patel (3)
  Sidney Braman (4)
  
  1. Division of Pulmonary and Critical Care Medicine, Elmhurst Hospital Center, Icahn School of Medicine at Mount Sinai, 79-01 Broadway, Box D6-4, Elmhurst, NY, 11373, USA
  2. Division of Pulmonary, Critical Care and Sleep Medicine, Mount Sinai Beth Israel, Icahn School of Medicine at Mount Sinai, 7 Dazian Building, First Avenue at 16 Street, New York, NY, 10003, USA
  3. Department of Medicine, Elmhurst Hospital Center, Icahn School of Medicine at Mount Sinai, 79-01 Broadway, Room A1-16, Elmhurst, NY, 11373, USA
  4. Division of Pulmonary, Critical Care and Sleep Medicine, Mount Sinai Hospital, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, Box 1232, New York, NY, 10029-6754, USA
  
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Pneumology and Respiratory System
  
• 出版者：Springer New York
• ISSN：1432-1750

文摘

The early years of the acquired immunodeficiency syndrome (AIDS) epidemic introduced the global medical community to Kaposi’s sarcoma (KS), a heretofore seldom encountered angiosarcomatous neoplasm associated with human herpesvirus-8. At that time, clinicians treating these KS patients were routinely exposed to the pulmonary manifestations of this malignancy, including characteristic airway lesions, peribronchovascular opacities, and the typically hemorrhagic pleural effusions. They also witnessed uncommon complications of pulmonary KS such as chylous effusions, diffuse alveolar hemorrhage, and immune reconstitution inflammatory syndrome. Since the advent of highly active antiretroviral therapy, the incidence of KS has steadily declined and with that so has clinician familiarity with this disease. Herein, we present four KS cases recently encountered at our institution that illustrate both typical manifestations of pulmonary KS as well as its thoracic complications. The case descriptions are followed by a review of these clinical entities with the aim of restoring awareness among frontline physicians of what is now a rare but not quite extinct AIDS-defining neoplasm. Keywords Kaposi’s sarcoma AIDS Chylothorax Chylopericardium Diffuse alveolar hemorrhage Immune reconstitution inflammatory syndrome