HAART in hand: The change in Kaposi's sarcoma presentation in KwaZulu-Natal, South Africa.
Identifieur interne : 000888 ( PubMed/Checkpoint ); précédent : 000887; suivant : 000889HAART in hand: The change in Kaposi's sarcoma presentation in KwaZulu-Natal, South Africa.
Auteurs : Levashni Naidoo [Afrique du Sud] ; Judith S. Jacobson ; Alfred I. Neugut ; Ncoza C. Dlova ; Anisa MosamSource :
- South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde [ 0256-9574 ] ; 2016.
Abstract
HIV/AIDS-related Kaposi's sarcoma (HIV-KS) is a public health problem in South Africa (SA). It is AIDS defining. There have been no studies evaluating its prevalence since the national roll-out of highly active antiretroviral therapy (HAART).
PubMed: 27245729
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<author><name sortKey="Naidoo, Levashni" sort="Naidoo, Levashni" uniqKey="Naidoo L" first="Levashni" last="Naidoo">Levashni Naidoo</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Dermatology, School of Clinical Medicine, College of Health Sciences, Nelson R Mandela School of Medicine, University of KwaZulu-Natal, Durban, South Africa. levashni.naidoo@yahoo.com.</nlm:affiliation>
<country xml:lang="fr">Afrique du Sud</country>
<wicri:regionArea>Department of Dermatology, School of Clinical Medicine, College of Health Sciences, Nelson R Mandela School of Medicine, University of KwaZulu-Natal, Durban</wicri:regionArea>
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<author><name sortKey="Jacobson, Judith S" sort="Jacobson, Judith S" uniqKey="Jacobson J" first="Judith S" last="Jacobson">Judith S. Jacobson</name>
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<author><name sortKey="Jacobson, Judith S" sort="Jacobson, Judith S" uniqKey="Jacobson J" first="Judith S" last="Jacobson">Judith S. Jacobson</name>
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<author><name sortKey="Neugut, Alfred I" sort="Neugut, Alfred I" uniqKey="Neugut A" first="Alfred I" last="Neugut">Alfred I. Neugut</name>
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<author><name sortKey="Mosam, Anisa" sort="Mosam, Anisa" uniqKey="Mosam A" first="Anisa" last="Mosam">Anisa Mosam</name>
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<series><title level="j">South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde</title>
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<front><div type="abstract" xml:lang="en">HIV/AIDS-related Kaposi's sarcoma (HIV-KS) is a public health problem in South Africa (SA). It is AIDS defining. There have been no studies evaluating its prevalence since the national roll-out of highly active antiretroviral therapy (HAART).</div>
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<pubmed><MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM"><PMID Version="1">27245729</PMID>
<DateCreated><Year>2016</Year>
<Month>06</Month>
<Day>01</Day>
</DateCreated>
<DateRevised><Year>2017</Year>
<Month>05</Month>
<Day>01</Day>
</DateRevised>
<Article PubModel="Electronic"><Journal><ISSN IssnType="Print">0256-9574</ISSN>
<JournalIssue CitedMedium="Print"><Volume>106</Volume>
<Issue>6</Issue>
<PubDate><Year>2016</Year>
<Month>May</Month>
<Day>11</Day>
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<Title>South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde</Title>
<ISOAbbreviation>S. Afr. Med. J.</ISOAbbreviation>
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<ArticleTitle>HAART in hand: The change in Kaposi's sarcoma presentation in KwaZulu-Natal, South Africa.</ArticleTitle>
<ELocationID EIdType="doi" ValidYN="Y">10.7196/SAMJ.2016.v106i6.10333</ELocationID>
<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">HIV/AIDS-related Kaposi's sarcoma (HIV-KS) is a public health problem in South Africa (SA). It is AIDS defining. There have been no studies evaluating its prevalence since the national roll-out of highly active antiretroviral therapy (HAART).</AbstractText>
<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To evaluate the effect of HAART on the disease profile of HIV-KS in KwaZulu-Natal Province (KZN), SA.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Charts of patients with histologically confirmed HIV-KS were reviewed at an oncology clinic in KZN. The significance of associations of HAART with age, gender, CD4 count, urban/rural residence, fungating lesions, ulceration and lymphoedema, and treatment delay, was determined by t-tests for normally distributed continuous variables and χ2 tests for categorical variables. Logistic regression models were used to analyse the association of HAART with CD4 count.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Of 198 patients, 194 were documented as HIV-positive; 168 (86.6%) were on HAART at the time of their KS diagnosis. The mean CD4 count of 266 cells/μL was higher than that in previous studies at this site. The mean age at presentation was 36.6 (standard deviation 10.1) years. Females presented at a younger mean age than males (p<0.001). The mean age of females on HAART was 34.7 years and that of males 39.0 years (p=0.003). HAART-naive patients were three times more likely than those receiving HAART (15.4% v. 4.8%) to have visceral involvement (p=0.03).</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">HAART use has resulted in outcome improvement. Mean age at presentation has increased in the group as a whole and for females in particular. The trend in mean CD4 counts has shown positive growth. Females no longer shoulder a disproportionate burden of disease.</AbstractText>
</Abstract>
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<ForeName>Levashni</ForeName>
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<AffiliationInfo><Affiliation>Department of Dermatology, School of Clinical Medicine, College of Health Sciences, Nelson R Mandela School of Medicine, University of KwaZulu-Natal, Durban, South Africa. levashni.naidoo@yahoo.com.</Affiliation>
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<Author ValidYN="Y"><LastName>Jacobson</LastName>
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<ForeName>Ncoza C</ForeName>
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<Author ValidYN="Y"><LastName>Mosam</LastName>
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<MedlineJournalInfo><Country>South Africa</Country>
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<name sortKey="Neugut, Alfred I" sort="Neugut, Alfred I" uniqKey="Neugut A" first="Alfred I" last="Neugut">Alfred I. Neugut</name>
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