Table 1.
Patient nr./age at MCD Dg | HIV Dg (mo/y) | MCD Dg (mo/y) | Histological variant of MCD | KS (y) | HIV VL at MCD Dg (copies/ml) | CD4 cells at and nadir before MCD Dg (cells/μl) | HHV8 VL at MCD Dg (copies/µg DNA) | cART at MCD Dg | First-line therapy | MCD relapse (y) | Outcome (last follow-up) | |
---|---|---|---|---|---|---|---|---|---|---|---|---|
1 | 40 | 01/2008 | 10/2008 | Plasma cell | NA | 104 | 204/114 | 61.000 | 2 PI + INI | Rituximab | 2009, 2010 | In remission (12/2020) |
2 | 63 | 03/2002 | 08/2010 | Hyaline vascular | 2002, 2011 (relapse) | < 40 | 234/90 | 1.020 | 2NRTI + INI + PI | Rituximab | NA | Lost to follow-up (04/2011) |
3 | 36 | 07/2011 | 07/2011 | Plasma cell | 2011 |
2.05 2.676 |
96/96 | 218.000 | None | Rituximab | NA | Deceased (2012) |
4 | 28 | 12/2012 | 01/2013 | No histological confirmation | 2013 | < 40 | 4/4 | 466.000 | None | Rituximab | NA | In remission (12/2020) |
5 | 54 | 05/1996 | 10/2015 | Plasma cell | 2005, 2007 | 255 | 527/109 | 193.000 | 2NRTI + INI | Rituximab, tocilizumab, splenectomy | 2019 | Deceased (2019) |
6 | 67 | 01/2005 | 05/2017 | Plasma cell | NA | 70 | 41/41 | 49.500 | 2NRTI + INI | Tocilizumab, rituximab | 2019 | In remission (11/2020) |
7 | 71 | 11/2015 | 08/2017 | Plasma cell | 2015 | < 20 | 133/54 | 46.500 | 2NRTI + PI | Rituximab | In remission (11/2020) | |
8 | 44 | 07/2003 | 12/2017 | Plasma cell | 2019 | 102 | 10/10 | 288.000 | 2NRTI + PI | Rituximab, tocilizumab, splenectomy | 2019, 2020 | Deceased (2020) |
9 | 39 | 08/2016 | 02/2018 | Plasma cell | NA | 184 | 379/159 | 111.000 | 2NRTI + INI | Rituximab | NA | In remission (12/2020) |
Virologic and immunologic parameters at MCD diagnosis as well as therapies and outcome
Dg Diagnosis; m male; KS Kaposi Sarcoma; VL viral load; mo month; y year; cART combination antiretroviral therapy; NRTI nucleoside reverse transcriptase inhibitor; INI integrase inhibitor; PI protease inhibitor; NA not applicable