Doctor insights on:
Is A Kaposi Sarcoma Itchy Or Raised
Originally diagnosed as a dark red nodular chronic skin tumor of the lower legs. It took years to metastasize and could be locally resected or treated by RT. With advent of HIV these lesions were then noted on trunk and H&N region. When bx of new lesions taken, Herpes 8 proved to be an associated factor. When HIV patient given immune stimulant and vaccine for ...Read more
I have purple bumps on my labia, 4 raised, some just dots. They don't hurt, but bleed. Angiokeratoma or kaposi sarcoma or herpes? I'm very worried!
Possibly: see MD: This does not sound typical of a herpetic lesion but could be either of the other two. What concerns me is that you are asking about two very unusual lesions that suggest unprotected and risky sexual behaviors. Use of condoms may help to diminish this risk. To confirm the presence of these possible diagnoses you will need to see your gynecologist for an exam and possible biopsy. ...Read more
Depends: Kaposi sarcoma is a malignancy of the blood vessel wall; it can occur in men of middle eastern descent and is usually not aggressive, it can also appear with HIV (aggressive). The lesions usually appear as purplish bumps on the skin. They may also appear in the mouth or GI tract and can be a cause of bleeding. Sometimes they can become painful if they progress in size. Hope that this is helpful. ...Read more
Skin vs. Visceral: There are no specific stages, but the earliest form of ks is usually cutaneous (skin lesions), which can be mild or severe depending on how extensive it is. People with extensive ks or more advanced immunosuppression can develop visceral ks: involvement of internal organs such as the GI tract or lungs. Of those, lung involvement is usually has the worst prognosis. ...Read more
Kaposi was: The purple badge at the height of the HIV crisis, but is not seen very frequently at all in the age of highly active anti-retroviral therapy. We know that people with low cd-4 counts and measurable viral loads are stil at risk for all of the "immunocompromised" diseases, but religiously comliant hiv+ folks commonly have rising cd-4 counts and undetectable hiv. Counts not time! ...Read more
Skin only, nodes,: Lapland in elderly involvesxskin only using on the feet, can spread to lymph nodes and nil ate stages internally to liver and spoken as well as esophagus and lung. Early kpaosi is easily treatable. ...Read more
KAPOSI SARCOMA: KAPOSI SARCOMA ARE RARELY SEEN NOW DAYS WITH THE INCREASINGLY MORE POTENT ANTIRETROVIRALS. THEY ARE USUALLY PURPLEISH AND CAN OCCUR ON LEGS/ ARM/THORAXLUNGS/GI TRACT. THIS USUALLY HAPPENS WITH VERY HIGH VIRAL LOAD &RNA AND VERY LOW T CELL COUNTS. IF YOU ARE INDEED HIV + SEE YOUR ID SPECIALIST & DERM. GET LABS RECHECKED AND DISCUSS OPTIONS. ...Read more
Most but not all: In the U.S. It's mostly due to aids. However, ks can occur in hiv-negative people. "endemic ks" occurs in young african men who don't have hiv, and "classic" ks affects middle age men of mediterranean or jewish descent. Ks can also occur in people who are immunosuppressed due to chemotherapy or organ transplantation. ...Read more
Usually late: Usually at fairly advanced stages (cd4 count usually below 200)' but ks doesn't always play b the rules. It can sometimes happen to people with high CD4 counts. ...Read more
How long does human herpes 8 virus, the one that causes kaposi sarcoma, live outside the body on a door handle?
Soft tissue cancer: It is a rare cancer of the soft tissues which appear as raised red or purple lesions of the skin or in the lining of the gastrointestinal tract. It can occur in immune compromised patients, those with advanced hiv/aids and elderly men. Survival rates are 50-60% and treatment options incllude surgery, radiation, chemotherapy (advanced cases). ...Read more
Over time: Lesion develop slowly over months and continue to develop over a period of years. ...Read more
Not quickly: Ks in the mouth is no longer a common disease among aids patients, so we do not see as many cases as we saw in the 90s. There are a number of mouth abnormalities that could look like ks, that are far more common than ks. An oral mucosa biopsy is a relatively easy and painless procedure that will definitely help clarify any doubts. Once a biopsy is obtained, it is an easy diagnosis to make. ...Read more
Usually misses it: You asked about this before. Kaposi sarcoma usually does not cause lung or chest problems or an abnormal chest xray. If someone doesn't have KS skin lesions, they have little chance of having it elsewhere in the body. If you do have KS and your chest xray is normal, it's good evidence your lungs are not involved, but maybe not proof. Discuss with your personal physician. ...Read more
Does kaposi sarcoma blanch when you push down on it, there has been a lesion on my arm that is in the cubital fossa, when I extend - it turns white?
Non-blanching: The cancerous lesions of kaposi's sarcoma are non-blanching. See you doctor or get referred to dermatologist to have your rash examined. ...Read more
Yes: Why do you ask? If you are HIV positive, there are many other possibilities to explain pulmonary symptoms. Kaposi's spreads along the fibrous septa of the lungs and will be visible to the radiologist as increased interstitial markings if it is symptomatic. I am glad you are health conscious. Best wishes. ...Read more
I was someone with what looked like kaposi sarcoma on their legs. I opened the same door as they did and had cuts on my hand. Will I get kshv from this?
Not always.: Kaposi Sarcoma in the lung may not be visible on a simple chest x-ray. It may require a more advanced study called a Chest CT which allows doctors to look inside the lung on a more high resolution level. There are many cases when someone with KS in the lung had a normal chest xray. Hopefully this answers your question. ...Read more
As a hiv positive can I believe that a chest x-Ray is enough to eliminate possible Kaposi sarcoma of the lungs?
Probably yes, but...: When Kaposi sarcoma develops in advanced HIV infection, the first evidence almost always is on the skin. If you have normal skin, you can safely assume you don't have it in your lungs. KS develops only in advanced immune deficiency due to HIV. If you have a high CD4 count and low viral load, and especially if on proper treatment with ARV drugs, KS is low risk. Discuss with your HIV doctor/clinic. ...Read more
Is a chest x-Ray enough to eliminate the possibility of Kaposi sarcoma in the lungs? Addressed for hiv positive individuals. No skin lesions
Three reasons CT is better than chest x ray for this situation:
1) Kaposi sarcoma can be subtle on CXR, esp if early.
2) CT is by far better at showing otherwise occult disease in the chest.
3) The chances of an HIV pt. Having other problems that only CT might see is not insignificant. ...Read more
Hemangiosarcoma: Originally diagnosed as a dark red nodular chronic skin tumor of the lower legs. It took years to metastasize and could be locally resected or treated by RT. With advent of HIV these lesions were then noted on trunk and H&N region. When bx of new lesions taken, Herpes 8 proved to be an associated factor. When HIV patient given immune stimulant and vaccine for Herpes 8 lesions resolve. ...Read more
By definition, it is malignant (i.e., being locally invasive and at least theoreticlally capable of metastasizing), and arises from / mimics muscle or connective tissue elements that are not marrow or immune / white cells. The sarcomas are a tremendously varied and troublesome family of tumors, though thankfully less common than carcinomas and the leukemia / ...Read more