에이즈 환자에서 발생한 위장 카포시 육종 1예
A case of gastrointestinal Kaposi sarcoma in a patient with AIDS
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AIDS 관련 카포시 육종은 AIDS 및 면역억제 장기이식 환자의 증가와 함께 이전에 비해 드물지 않게 볼 수 있는 질환으로 병기 및 환자의 임상경과에 따라 치료를 선택하게 된다. 저자들은 AIDS 환자에서 발생한 위장 카포시 육종 환자에서 항레트로바이러스 치료 및 인터페론 알파로 치료한 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.
Abstract
Kaposi sarcoma in acquired immunodeficiency syndrome (AIDS) is rarely seen in Korea and the incidence has declined in the era of highly active antiretroviral therapy (HAART). Visceral involvement in patients having AIDS with Kaposi sarcoma is more common than in patients infected with non-human immunodeficiency virus. Visceral involvement may be asymptomatic and usually does not require specific therapy. Chemotherapy is usually used in symptomatic or rapidly progressive disease, and interferon-alpha can be applied as an alternative treatment option. Compared to cutaneous Kaposi sarcoma in AIDS, only three cases of gastrointestinal Kaposi sarcoma in patients with AIDS have been reported in Korea, and no experience with interferon therapy for AIDS-associated visceral Kaposi sarcoma has been reported. We report a case of gastrointestinal Kaposi sarcoma in a patient with AIDS who had combined treatment with interferon-alpha and HAART.
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