肺部艾滋病相关性卡波西肉瘤1例并文献复习

目的:探讨肺部艾滋病相关性卡波西肉瘤的病因、临床特点及治疗。方法:回顾性分析1例肺部艾滋病相关性卡波西肉瘤临床资料并复习国外文献。结果:HIV确认试验阳性,CD4+细胞9cell/ul。咳嗽、发热5个月,右小腿及右上颚紫色结节,CT提示两肺边缘不清小节结状影;5天后呼吸困难、低氧血症,因呼吸衰竭死亡。右小腿皮肤结节及肺组织病理符合卡波西肉瘤。结论:皮肤损害特点及CT表现有助诊断,确诊依靠活检。

Objective ： To investigate etiology, clinical features, and treatment of pulmonary involvement in HIV - associated Kaposi＇s sarcoma （ KS ）. Methods ： A case was analyzed retrospectively with review of literature. Results ：28 - year - old woman was admitted with a 5 -month history of cough,fever. HIV confirmatory test was positive, and CIM ＋ count 9eell/ul. a purple nodule was found in lower right limb, another one in palate. CT revealed ill -defined nodular pattern. Five days later, she had dyspnea, low arterial oxygen tension, and died of respiratory failure. Biopsy of lesion on lower fight limb and lung biopsy indicated KS. Conclusion ： Though characteristic of Skin lesion and CT imagining is helpful, confirmed diagnosis relies on biopsy.