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.
Highlights
Kaposi sarcoma (KS) is a low-grade neoplasm that was first described by Moricz Kaposi in 1872 [1]
It is commonly diagnosed in patients who have acquired immunodeficiency syndrome (AIDS), human herpes simplex virus type 8 infection, or underwent immunosuppression or organ transplantation
We report an exceptional case of KSwith cervical node involvement in an immunocompetent young male
Summary
Kaposi sarcoma (KS) is a low-grade neoplasm that was first described by Moricz Kaposi in 1872 [1]. Pan African Medical Journal – ISSN: 1937- 8688 (www.panafrican-med-journal.com) Published in partnership with the African Field Epidemiology Network (AFENET). It is commonly diagnosed in patients who have acquired immunodeficiency syndrome (AIDS), human herpes simplex virus type 8 infection, or underwent immunosuppression or organ transplantation. Lymphadenopathic KS in an immunocompetent adult has been rarely reported [2, 3], most cases are HIV related and they are mainly cutaneous.
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