Kaposi Sarcoma in an Immunosuppressed Patient With Presumed Crohn’s Disease: Iatrogenic or Epidemic?

Claytor, Jennifer; Viramontes, Omar; Conner, Stephanie; Wen, Kwun Wah; Beck, Kendall

doi:10.1053/j.gastro.2021.01.034

Cited by 2 publications

(2 citation statements)

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“…The KS in patients with HIV and IBD is extremely rare with few cases ever reported [6][7][8]. Similarly, visceral KS is rarely present at the initial diagnosis of HIV, with an incidence of about 15% [8][9][10][11].…”

Section: Discussionmentioning

confidence: 99%

“…Though, our patient required an endoscopy and colonoscopy given new dysphagia and weight loss, as well as an unclear prior diagnosis of IBD. While it may be reasonable to start corticosteroids, or anti-tumor necrosis factor-alpha for IBD flares in patients receiving HAART or with CD4+ >500, the safety of starting such treatments have not been studied in those with uncontrolled HIV as in our case [6,[14][15][16].…”

Section: Discussionmentioning

confidence: 99%

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Identifying Visceral Kaposi Sarcoma (KS): A Responsibility to Avoid Anchoring on the Diagnosis of a Crohn’s Flare

Seltzer¹,

Shenoy²,

Yoon³

et al. 2023

Cureus

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The initial evaluation of reported inflammatory bowel disease (IBD) should include an assessment for immunosuppression which can broaden the differential diagnosis to include opportunistic infection as well as other processes. Here we present an exceedingly rare case of a patient with a self-reported history of Crohn's disease presenting with frequent diarrhea presumed to be a Crohn's flare, however, after further workup was found to have extensive visceral Kaposi sarcoma (KS).

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