IMMUNE RECONSTITUTION INFLAMMATORY SYNDROME: A POTENTIAL PITFALL IN THE MANAGEMENT OF KAPOSI’S SARCOMA IN HIV POSITIVE PATIENTS? – A CASE REPORT

  • Felipe Ladeira de Oliveira Department of STDs and Leprosy, Instituto de Dermatologia Professor Rubem David Azulay (IDPRDA), Brasil
  • Deborah Maria Brito Sírio Department of STDs and Leprosy, Instituto de Dermatologia Professor Rubem David Azulay (IDPRDA), Brasil
  • Gisele Cerutti Department of STDs and Leprosy, Instituto de Dermatologia Professor Rubem David Azulay (IDPRDA), Brasil
  • Natalia Barreiros de Natividade Department of STDs and Leprosy, Instituto de Dermatologia Professor Rubem David Azulay (IDPRDA), Brasil
  • Vinicius Martins de Menezes MD - Fundação Oswaldo Cruz, FIOCRUZ, Rio de Janeiro, Brasil
  • Alice Miranda MD, PhD Leprosy Laboratory, Oswaldo Cruz Institute, FIOCRUZ, Brasil
  • Luna Azulay-Abulafia MD PhD - Instituto de Dermatologia Professor Rubem David Azulay (IDPRDA), Instituto de Dermatologia Professor Rubem David Azulay (IDPRDA), Santa Casa da Misericórdia, Rio de Janeiro, Brasil
  • José Augusto da Costa Nery MD PhD - Instituto de Dermatologia Professor Rubem David Azulay (IDPRDA), Instituto de Dermatologia Professor Rubem David Azulay (IDPRDA), Santa Casa da Misericórdia, Rio de Janeiro, Brasil
Keywords: Antiretroviral therapy, highly active, HIV infections, Sarcoma, Kaposi

Abstract

The variety of immune reconstitution inflammatory syndrome’s (IRIS) clinical presentations makes this syndrome a challenge, in that it is difficult to manage opportunistic infections and other serious clinical conditions related to the manifestation of this syndrome. The relevance of immune reconstitution inflammatory syndrome – associated with Kaposi sarcoma (IRIS-KS) after initiation of highly active antiretroviral therapy (HAART) is noteworthy, mainly in coun tries that still have high levels of transmission of sexually transmitted diseases and HIV. Clinicians and dermatologists should be aware to identify signs and symptoms of this neoplasm progression and to differentiate them from KS related IRIS according to the recent classification criteria of this disease and antiretroviral therapy should not be discontinued in the most cases.

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Published
2014-06-24
How to Cite
Ladeira de Oliveira, F., Sírio, D. M. B., Cerutti, G., de Natividade, N. B., de Menezes, V. M., Miranda, A., Azulay-Abulafia, L., & Nery, J. A. da C. (2014). IMMUNE RECONSTITUTION INFLAMMATORY SYNDROME: A POTENTIAL PITFALL IN THE MANAGEMENT OF KAPOSI’S SARCOMA IN HIV POSITIVE PATIENTS? – A CASE REPORT. Journal of the Portuguese Society of Dermatology and Venereology, 71(2), 235-239. https://doi.org/10.29021/spdv.71.2.177
Section
Case Reports