Oral HIV-Associated Kaposi Sarcoma: A Clinical Study from the Ga-Rankuwa Area, South Africa
Identifieur interne : 004068 ( Main/Exploration ); précédent : 004067; suivant : 004069Oral HIV-Associated Kaposi Sarcoma: A Clinical Study from the Ga-Rankuwa Area, South Africa
Auteurs : Razia A. G. Khammissa [Afrique du Sud] ; Liron Pantanowitz [États-Unis] ; Liviu Feller [Afrique du Sud]Source :
- AIDS Research and Treatment [ 2090-1240 ] ; 2012.
Abstract
Url:
DOI: 10.1155/2012/873171
PubMed: 23008762
PubMed Central: 3447356
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Oral HIV-Associated Kaposi Sarcoma: A Clinical Study from the Ga-Rankuwa Area, South Africa</title><author><name sortKey="Khammissa, Razia A G" sort="Khammissa, Razia A G" uniqKey="Khammissa R" first="Razia A. G." last="Khammissa">Razia A. G. Khammissa</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Periodontology and Oral Medicine, University of Limpopo, Medunsa Campus, Pretoria 0204, South Africa</nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>Department of Periodontology and Oral Medicine, University of Limpopo, Medunsa Campus, Pretoria 0204</wicri:regionArea><wicri:noRegion>Pretoria 0204</wicri:noRegion></affiliation></author><author><name sortKey="Pantanowitz, Liron" sort="Pantanowitz, Liron" uniqKey="Pantanowitz L" first="Liron" last="Pantanowitz">Liron Pantanowitz</name><affiliation wicri:level="1"><nlm:aff id="I2">Department of Pathology, University of Pittsburgh Medical Centre, Pittsburgh, PA 15260, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Pathology, University of Pittsburgh Medical Centre, Pittsburgh, PA 15260</wicri:regionArea><wicri:noRegion>PA 15260</wicri:noRegion></affiliation></author><author><name sortKey="Feller, Liviu" sort="Feller, Liviu" uniqKey="Feller L" first="Liviu" last="Feller">Liviu Feller</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Periodontology and Oral Medicine, University of Limpopo, Medunsa Campus, Pretoria 0204, South Africa</nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>Department of Periodontology and Oral Medicine, University of Limpopo, Medunsa Campus, Pretoria 0204</wicri:regionArea><wicri:noRegion>Pretoria 0204</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">23008762</idno><idno type="pmc">3447356</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3447356</idno><idno type="RBID">PMC:3447356</idno><idno type="doi">10.1155/2012/873171</idno><date when="2012">2012</date><idno type="wicri:Area/Pmc/Corpus">003A72</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">003A72</idno><idno type="wicri:Area/Pmc/Curation">003A71</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">003A71</idno><idno type="wicri:Area/Pmc/Checkpoint">002849</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">002849</idno><idno type="wicri:source">PubMed</idno><idno type="wicri:Area/PubMed/Corpus">001F46</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">001F46</idno><idno type="wicri:Area/PubMed/Curation">001F46</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">001F46</idno><idno type="wicri:Area/PubMed/Checkpoint">001F46</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">001F46</idno><idno type="wicri:Area/Ncbi/Merge">005156</idno><idno type="wicri:Area/Ncbi/Curation">005156</idno><idno type="wicri:Area/Ncbi/Checkpoint">005156</idno><idno type="wicri:doubleKey">2090-1240:2012:Khammissa R:oral:hiv:associated</idno><idno type="wicri:Area/Main/Merge">004082</idno><idno type="wicri:Area/Main/Curation">004068</idno><idno type="wicri:Area/Main/Exploration">004068</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Oral HIV-Associated Kaposi Sarcoma: A Clinical Study from the Ga-Rankuwa Area, South Africa</title><author><name sortKey="Khammissa, Razia A G" sort="Khammissa, Razia A G" uniqKey="Khammissa R" first="Razia A. G." last="Khammissa">Razia A. G. Khammissa</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Periodontology and Oral Medicine, University of Limpopo, Medunsa Campus, Pretoria 0204, South Africa</nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>Department of Periodontology and Oral Medicine, University of Limpopo, Medunsa Campus, Pretoria 0204</wicri:regionArea><wicri:noRegion>Pretoria 0204</wicri:noRegion></affiliation></author><author><name sortKey="Pantanowitz, Liron" sort="Pantanowitz, Liron" uniqKey="Pantanowitz L" first="Liron" last="Pantanowitz">Liron Pantanowitz</name><affiliation wicri:level="1"><nlm:aff id="I2">Department of Pathology, University of Pittsburgh Medical Centre, Pittsburgh, PA 15260, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Pathology, University of Pittsburgh Medical Centre, Pittsburgh, PA 15260</wicri:regionArea><wicri:noRegion>PA 15260</wicri:noRegion></affiliation></author><author><name sortKey="Feller, Liviu" sort="Feller, Liviu" uniqKey="Feller L" first="Liviu" last="Feller">Liviu Feller</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Periodontology and Oral Medicine, University of Limpopo, Medunsa Campus, Pretoria 0204, South Africa</nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>Department of Periodontology and Oral Medicine, University of Limpopo, Medunsa Campus, Pretoria 0204</wicri:regionArea><wicri:noRegion>Pretoria 0204</wicri:noRegion></affiliation></author></analytic><series><title level="j">AIDS Research and Treatment</title><idno type="ISSN">2090-1240</idno><idno type="eISSN">2090-1259</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><italic>Background</italic>. Kaposi sarcoma (KS) is one of the most common neoplasms diagnosed in HIV-seropositive subjects. Oral involvement is frequent and is associated with a poor prognosis. The aim of this study was to characterize the features of oral HIV-KS in patients from Ga-Rankuwa, South Africa. <italic>Methods</italic>. All cases with confirmed oral HIV-KS treated at the oral medicine clinic in Ga-Rankuwa from 2004 to 2010 were included in this retrospective study. Differences between males and females with oral HIV-KS in relation to HIV infection status, to oral KS presentation and to survival rates were statistically analysed. <italic>Results</italic>. Twenty (54%) of the 37 patients in the study were females and 17 (46%) were males. In 21 patients (57%), the initial presentation of HIV-KS was in the mouth. Other than the fact that females presented with larger (≥10 mm) oral KS lesions (<italic>P</italic> = 0.0004), there were no statistically significant gender differences. Significantly more patients presented with multiple oral HIV-KS lesions than with single lesions (<italic>P</italic> = 0.0003). Nine patients (24%) developed concomitant facial lymphoedema, and these patients had a significantly lower CD4+ T-cell count (28 cells/mm<sup>3</sup>) compared to the rest of the group (130 cells/mm<sup>3</sup>) (<italic>P</italic> = 0.01). The average CD4+ T-cell count of the patients who died (64 cells/mm<sup>3</sup>) was significantly lower (<italic>P</italic> = 0.0004), there were no statistically significant gender differences. Significantly more patients presented with multiple oral HIV-KS lesions than with single lesions (<italic>P</italic> = 0.016) at the time of oral-KS presentation than of those who survived (166 cells/mm<sup>3</sup>). Conclusions: In Ga-Rankuwa, South Africa where HIV-KS is prevalent, oral KS affects similarly males and females. A low CD4+ T-cell count at the time of oral HIV-KS diagnosis and the development of facial lymphoedema during the course of HIV-KS disease portends a poor prognosis.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Wang, Hw" uniqKey="Wang H">HW Wang</name></author><author><name sortKey="Trotter, Mwb" uniqKey="Trotter M">MWB Trotter</name></author><author><name sortKey="Lagos, D" uniqKey="Lagos D">D Lagos</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Aguilar, B" uniqKey="Aguilar B">B Aguilar</name></author><author><name sortKey="Hong, Y K" uniqKey="Hong Y">Y-K Hong</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Feller, L" uniqKey="Feller L">L Feller</name></author><author><name sortKey="Lemmer, J" uniqKey="Lemmer J">J Lemmer</name></author><author><name sortKey="Wood, Nh" uniqKey="Wood N">NH Wood</name></author><author><name sortKey="Jadwat, Y" 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Borok</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nasti, G" uniqKey="Nasti G">G Nasti</name></author><author><name sortKey="Serraino, D" uniqKey="Serraino D">D Serraino</name></author><author><name sortKey="Ridolfo, A" uniqKey="Ridolfo A">A Ridolfo</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Meditz, Al" uniqKey="Meditz A">AL Meditz</name></author><author><name sortKey="Borok, M" uniqKey="Borok M">M Borok</name></author><author><name sortKey="Mawhinney, S" uniqKey="Mawhinney S">S MaWhinney</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Feller, L" uniqKey="Feller L">L Feller</name></author><author><name sortKey="Khammissa, Ra" uniqKey="Khammissa R">RA Khammissa</name></author><author><name sortKey="Gugushe, Ts" uniqKey="Gugushe T">TS Gugushe</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Webster Cyriaque, J" uniqKey="Webster Cyriaque J">J Webster-Cyriaque</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Pantanowitz, L" uniqKey="Pantanowitz L">L Pantanowitz</name></author><author><name sortKey="Dezube, Bj" uniqKey="Dezube B">BJ Dezube</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Afrique du Sud</li><li>États-Unis</li></country></list><tree><country name="Afrique du Sud"><noRegion><name sortKey="Khammissa, Razia A G" sort="Khammissa, Razia A G" uniqKey="Khammissa R" first="Razia A. G." last="Khammissa">Razia A. G. Khammissa</name></noRegion><name sortKey="Feller, Liviu" sort="Feller, Liviu" uniqKey="Feller L" first="Liviu" last="Feller">Liviu Feller</name></country><country name="États-Unis"><noRegion><name sortKey="Pantanowitz, Liron" sort="Pantanowitz, Liron" uniqKey="Pantanowitz L" first="Liron" last="Pantanowitz">Liron Pantanowitz</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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