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M9650403.TXT
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1996-03-09
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Document 0403
DOCN M9650403
TI [Kaposi's sarcoma in dermatology consultations at Lome, Togo]
DT 9605
AU Pitche P; Kombate K; Napo-Koura G; Mijiyawa M; Tchangai-Walla K; Service
de Dermatologie, Centre Hospitalier Universitaire Tokoin,; Lome, Togo.
SO Med Trop (Mars). 1995;55(3):246-8. Unique Identifier : AIDSLINE
MED/96141172
AB The purpose of this retrospective study conducted in a dermatologic out
patient clinic in Lome was to assess the epidemiologic, clinical, and
prognostic profile of Kaposi's sarcoma in Togo during the 15 years
period between 1980 and 1994. Only patients who had undergone serologic
tests for human immunodeficiency virus (HIV) were included. There were
30 patients (27 men and 3 women) with a mean age of 35.2 years (range:
17 to 59 years). Thirteen patients were seropositive (epidemic Kaposi's
sarcoma or EPK) and 17 were seronegative (endemic Kaposi's sarcoma or
ENK). The mean age of patients with EPK was lower than that of patients
with ENK (30.0 vs 42.3 years). Extensive (92.3%) and edematous (90%)
forms and involvement of the upper extremities (66.7%), trunk (01.6%),
and mucosa (92.3%) were characteristic clinical features of EPK while
localized nodular forms (92.3%) were characteristic of ENK. A death was
noted after 5 years of follow-up in the ENK group as compared to 12
deaths after a mean follow-up of 15.95 years in the EPK group. This
study illustrates the current profile of Kaposi's sarcoma in Black
Africa where HIV infection has greatly changed clinical findings and
prognosis.
DE Adolescence Adult English Abstract Female Follow-Up Studies Human
HIV Infections/*COMPLICATIONS Male Middle Age Outpatient Clinics,
Hospital Prognosis Referral and Consultation Retrospective Studies
Sarcoma, Kaposi's/CLASSIFICATION/MORTALITY/*VIROLOGY Skin
Neoplasms/CLASSIFICATION/MORTALITY/*VIROLOGY Togo/EPIDEMIOLOGY Urban
Health JOURNAL ARTICLE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).