首都医科大学学报 ›› 2002, Vol. 23 ›› Issue (1): 70-72.

• 临床研究 • 上一篇    下一篇

儿童卡波希肉瘤与HIV等相关病毒感染

王秀兰1, 张长淮2   

  1. 1. 首都医科大学附属北京友谊医院儿科;2. 首都医科大学附属北京友谊医院病理科
  • 收稿日期:2001-12-30 修回日期:1900-01-01 出版日期:2002-01-15 发布日期:2002-01-15

Children with Kaposi Sarcoma Associated with HIV and Other Viruses Infection

Wang Xiulan Zhang Changhuai1   

  1. 1. Dept. of Pediatrics, Beijing Friendship Hospital, Affiliate of Capitol University of Medical Sciences;2. Dept. of Pathology, Beijing Friendship Hospital, Affiliate of Capitol University of Medical Sciences
  • Received:2001-12-30 Revised:1900-01-01 Online:2002-01-15 Published:2002-01-15

摘要: 为提高对小儿卡波希肉瘤(Kaposisarcoma,KS)的认识,对14例非洲小儿KS的临床资料、HIV抗体检测结果和组织病理学结果进行分析。结果:14例患儿活组织病理学观察均符合KS诊断,其中12例(85.71%)HIV抗体阳性。HIV抗体阳性的患儿中,婴幼儿组(6月~3岁)5例(41.7%),4~6岁1例(8.3%),7~9岁3例(25.0%),10~14岁3例(25.0%);淋巴结型KS占75%,皮肤型占25%.提示:小儿HIV感染相关型KS并不少见,以婴幼儿组发病率最高,以淋巴结型KS为主要临床表现类型;应提高对本病的认识,及时诊断患儿。

关键词: 儿童, 卡波希肉瘤, HIV感染

Abstract: The purpose of this research is study the clinical manifestation and classification of Kaposi sarcoma in Africa children, and to analyze the incidence of Kaposi sarcoma associated with HIV infection in pediatric patients. Clinical data of 14 cases were collected. All cases received histopathologic examination, and 14 cases accepted HIV antibody test. Histopathologic examination to 14 cases conformed to the diagnosis of KS and 12 out of 14 tested cases were HIV positive. Among 12 HIV positive cases, the 6-months-to-3-years group accounted for 41.7%. Other three groups accounted for 8.3 %, 25.0%, 25.0% respectively. For the 12 HIV positive cases, lymphatic KS was the main clinical type and occupied 75%. The incidence of pediatric KS associated with HIV infection was not uncommon. Among 12 HIV positive cases, the incidence of the 6-months-to-3-years group was much higher than the other three groups; lymphatic KS was the main clinical type. The result also suggests the possibility of canceration of HIV lymphadenopathy. The delayed diagnosis for most cases requests more attention to this particular problem.

Key words: children, Kaposi sarcoma, HIV infection

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