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KMID : 0359920100290040525
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Korean Journal of Nephrology
2010 Volume.29 No. 4 p.525 ~ p.528
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Kaposi’s Sarcoma in a Patient on Hemodialysis
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Jeong Seok-Hoo
Oh Kyong-Yong
Shin Dong-Su
Choi Shung-Han
Jung Eul-Sik
Park Jin-Sun
Na Sun-Young
Sung Ji-Yoon
Jung Ji-Yong
Kim Se-Joong
Lee Hyun-Hee
Jung Woo-Kyung
Park Sang-Hee
Chang Jae-Hyun
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Abstract
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Kaposi’s sarcoma (KS) is an unusual multifocal neoplasm of vascular endothelial cell origin. The trunk, arms, head, and neck are the most common sites. It is common in men and has four distinct variants: classic, Africa-endemic, immunosuppressive drug-associated, and acquired immunodeficiency syndromeassociated KS. KS appears to develop immunosuppressed patients, but is uncommon in patients on dialysis. A 79-year-old man on hemodialysis for 2 months presented with pruritus over the entire body and multiple, discrete, variable-sized, dark blue papulonodules (papuloplaques, maculopapules) on the left arm and shoulder. A biopsy specimen form the left arm showed spindle cells with slit-like spaces and extravasated red blood cells. The specimen was positive for CD 34 antigen, and human herpesvirus 8 was detected. We report a case of KS that occurred in a 79-year-old patient on hemodialysis.
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KEYWORD
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Kaposi sarcoma, Hemodialysis, HHV-8
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