Przegląd Dermatologiczny
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eISSN: 2084-9893
ISSN: 0033-2526
Dermatology Review/Przegląd Dermatologiczny
Bieżący numer Archiwum Artykuły zaakceptowane O czasopiśmie Zeszyty specjalne Rada naukowa Bazy indeksacyjne Prenumerata Kontakt Zasady publikacji prac Standardy etyczne i procedury
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Zgłaszanie i recenzowanie prac online
SCImago Journal & Country Rank
1/2025
vol. 112
 
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Opis przypadku

A Case Report of Disseminated Kaposi Sarcoma with Spontaneous Regression in a HIV-negative Patient: Classic or Drug-induced Variant?

Mikołaj Łanocha
1
,
Aleksandra Spyra
2
,
Zuzanna Pawlus
2
,
Bartosz Miziołek
1
,
Beata Bergler-Czop
1

  1. Department of Dermatology, Medical University of Silesia, Katowice, Poland
  2. Department of Dermatology; Faculty of Medical Sciences, Medical University of Silesia, Katowice, Poland
Dermatol Rev/Przegl Dermatol 2025, 112, 47-50
Data publikacji online: 2025/05/15
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Introduction:
Kaposi sarcoma is a rare angioproliferative neoplasm associated with human herpesvirus 8 (HHV-8) present in five variants: classic, endemic, iatrogenic, epidemic, and men having sex with men without HIV infection.

Objective:
To present a rare case of Kaposi sarcoma with spontaneous remission of skin lesions without specific treatment, raising questions about whether it is a classic or iatrogenic variant exacerbated by the glucocorticosteroid therapy initiated in the meantime.

Case report:
A 63-year-old HIV-negative male presented with nodular lesions on his forearms, feet, and hands. Histological examination confirmed Kaposi sarcoma. Despite rapid lesion progression, the patient experienced significant remission without targeted oncological treatment. He had previously received dexamethasone therapy, and its discontinuation might have contributed to lesion regression.

Conclusions:
This case highlights the challenges in differentiating Kaposi sarcoma subtypes, particularly in patients on concurrent steroid therapy. Observed in our case remission may be linked to systemic glucocorticosteroids withdrawal, emphasizing their potential role in exacerbating the disease course.



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