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[Kaposi's sarcoma with ocular location in Zaire]
1Service d'Ophtralmologie, Cliniques Universitaires de Kinshasa, Zaïre.
Objective:
a clinical study of patients with ocular adnexal Kaposi's sarcoma was undertaken to study its clinical characteristics.
Methods:
A review of all patients with biopsy confirmed ocular adnexal Kaposi's sarcoma seen between 1962 and 1991.
Results:
There were eleven patients during this period with the incidence of 1.25 for 10,000 cases. Ages ranged from one to 47 years (average, 33 years). There were 6 males and 5 females. One (9%) patient was seen during the period of 1961 and 1981 and 10 (91%)during the period 1982 and 1991. Of the 10 patients, 9 had ocular Kaposi's sarcoma lesions related to acquires immunodeficiency syndrome. Lesions involved the right and the left eyes in 50% of cases. Localization of lesions was palpebral in 9 (82%) patients and conjunctival in 2 (18%) patients. The clinical appearance was tumoral, modular, polypoid and as subconjunctival hemorrhage. Three patients underwent excision of tumor. The recurrence was of 100% in approximately three weeks of time. All patients infected with HIV died.
Conclusion:
Ocular Kaposi's sarcoma was not common and its presence is related in most of cases to HIV infection and could be the first manifestation of HIV infection.