Abstract

Kaposi sarcoma (KS) is one of the most common neoplasms diagnosed in HIV positive patients. The mortality rate of patients with oral HIV-KS is greater than patients with only cutaneous HIV-KS. On April, 2011, a male patient, 35 years old, MSM HIV+, was admitted at the Service of Oral Medicine with count of CD4+ of 87 cells/cc3, CD8+ of 602 cell/cc3, and viral load of 355 copies/ml. It was found alopecia, malnutrition, brown maculae on forearm and foot (KS). The intraoral examination showed angular fissure (angular cheilitis), atrophy of dorsal tongue papillae, white plaques on the jugal and soft palate (candidosis). In the hard palate was noted enlargement purple and ulcerated and painless (KS). The KS was treated with radiotherapy. Nowadays, he is controlled, the HIV load is low. This evolution was unexpected for a patient with oral KS in advanced stage of AIDS progression.

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