La maladie de Kaposi iatrogène au Maroc en dehors du contexte de la transplantation

Lamchahab, F.Z.; Tadlaoui, I.; Beqqal, K.; Bouattar, T.; Ouzeddoun, N.; Bayahia, R.; Ourhroui, M. Ait; Senouci, Karima; Hassam, B.; Ismaïli, Nadia

doi:10.1016/j.annder.2011.06.007

Cited by 2 publications

(1 citation statement)

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“…Fourteen 14Kaposi's diseases iatrogenic patients were collected over 21 years in Morocco by Lamchahab et al in 2011 [8], indicating the rarity of these cases. All were treated with corticosteroids, associated with Cyclophosphamide in three cases and in one case the Azathioprine.…”

Section: Discussionmentioning

confidence: 99%

Kaposi’s Sarcoma Associated with Gastrointestinal Bleeding: A Rare Complication of Long-Term Corticosteroid Therapy

Azon-Kouanou¹,

Zannou²,

Agbodande³

et al. 2015

OJIM

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Corticosteroid therapy has revolutionized the treatment of many diseases in medicine. The most concerned diseases are chronic inflammatory diseases. Its use may be either short-term or long-term, thus generating several side effects, some of which are conventional and known, but others are rare, such as Kaposi's sarcoma. We report here a particular clinical observation. Observation: This is a patient of 37 years, who consults in Internal Medicine for the treatment of mucocutaneous lesions, papular nodular, hyper pigmented, budding and disseminated appeared after six months of corticosteroid therapy. This treatment was introduced for the treatment of acoustic neurinoma. The patient is not diabetic or alcoholic and has a negative HIV status. The diagnosis of Kaposi's sarcoma was made by histology of biopsied skin lesions which concluded for a regular proliferation without atypia spindle cell or mitosis. The lesions persisted over a month despite discontinuation of corticosteroid therapy. Treatment with Bleomycin was necessary. The outcome was favorable under treatment with progressive and complete disappearance of lesions after 15 treatments. Conclusion: The classical side effects of long-term corticosteroid are known, but Kaposi sarcoma complicating long-term corticosteroid is rare in the literature. It is vital that any long-term corticosteroid should be the subject of careful and regular monitoring.

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Section: Discussionmentioning

confidence: 99%