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HIV-related Merkel cell carcinoma: A report of three cases from the UK
Evdoxia Panou1, Christos Nikolaou2, Sashini Payagala3
1Departments of Dermatology, 98548University College London Hospitals NHS Foundation Trust, UK.
Abstract:
Merkel cell carcinoma (MCC) of the skin is a rare, aggressive and often fatal neuroendocrine skin cancer. The incidence of MCC has significantly increased in the last decades. Factors that have been associated with the development of MCC include infection with Merkel Cell polyomavirus (MCPyV), ultraviolet exposure, hematologic malignancies and immunosuppression.We present three cases of patients living with HIV who were diagnosed with MCC. HIV cases associated with MCC have been rarely reported and to our knowledge, not yet before in the UK.
Insights
Merkel cell carcinoma (MCC), a rare skin cancer, is increasingly diagnosed. This report details three UK cases of MCC in patients with human immunodeficiency virus (HIV), a rare association.
Area of Science:
- Oncology
- Dermatology
- Virology
Background:
- Merkel cell carcinoma (MCC) is a rare, aggressive neuroendocrine skin cancer with increasing incidence.
- Associated risk factors include Merkel Cell polyomavirus (MCPyV), UV exposure, and immunosuppression.
Observation:
- Three cases of MCC were diagnosed in patients living with human immunodeficiency virus (HIV).
- These cases represent the first reported instances of MCC associated with HIV in the United Kingdom.
Findings:
- The study highlights a rare clinical presentation of MCC in an immunocompromised population.
- The association between MCC and HIV, while infrequently reported globally, is now documented in the UK.
Implications:
- This case series expands the understanding of MCC epidemiology in immunocompromised individuals.
- Further research into the interplay between HIV, MCC, and potential viral co-factors is warranted.
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