Relationship between oral Kaposi ’s sarcoma and HAART: Contribution of two case reports

Julián Campo Trapero ^[1] ; Jorge Del Romero Guerrero ^[2] ; Jorge Cano Sánchez ^[1] ; Carmen Rodríguez Martín ^[1] ; José Mª Martínez González ^[1] ; Antonio Bascones Martínez ^[1]
1. [1] Universidad Complutense de Madrid
  
  Universidad Complutense de Madrid
  
  Madrid, España
2. [2] Madrid Health Service, Madrid Regional Government, Spain
Localización: Medicina oral, patología oral y cirugía bucal. Ed. inglesa, ISSN-e 1698-6946, Vol. 13, Nº. 11 (November), 2008
Idioma: inglés
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Resumen
- Two HIV infected patients not receiving Highly Active Antiretroviral Treatment (HAART) presented with epidemic Kaposi’s sarcoma of the oral cavity. One patient initially refused HAART, but when the lesion became large enough to be noticeable he agreed to HAART associated with excision of the intraoral lesion by CO2 laser. The other patient developed KS and progressed to AIDS at two years after ceasing HAART due to adverse effects; he was referred to hospital for renewed administration of HAART. In both cases, the lesions observed in the oral cavity were the first clinical manifestation of AIDS. These reports underline the close relationship between the use of HAART and the control of KS lesions, highlighting the important role of the dentist in the identification and early diagnosis of these oral lesions.