Table 3.
Literature review of Kaposi Sarcoma (KS) in other forms of systemic vasculitis
| Author | Age, years/Sex | Diagnosis | Immunosuppression | Time to onset of KS | Areas affected by KS | HIV and HHV8 status | Treatment | Outcome |
|---|---|---|---|---|---|---|---|---|
| Klepp et al. [17] | 79/F | Polymyalgia rheumatica | Glucocorticoids (oral prednisone) | 7 Months | Skin lesions lower extremities and eyelid | HIV status not provided, HHV-8 status not provided | Radiotherapy | Regression of KS, patient died suddenly of unknown cause |
| Vincent et al. [33] | 84/F | Polymyalgia rheumatica | Glucocorticoids (oral prednisone) | 4 Months | Skin lesions on lower extremities | HIV status not provided, HHV-8 positive | Not provided | Not provided |
| Brambilla et al. [37] | 72/F | Polymyalgia rheumatica | Glucocorticoids (oral prednisone) | 4 Years (was on 4 mg daily for 4 years) | Skin lesions on trunk, upper and lower extremities, leg lymphedema | HIV negative, HHV-8 positive | Gradually discontinue prednisone, taxol | Partial regression of KS, developed Merkel cell carcinoma requiring additional treatment |
| Leung et al. [29] | 70/F | Giant cell arteritis | Glucocorticoids (oral prednisone) | 5 Months | Skin lesions upper and lower extremities, neck, lips, back | HIV status not provided, HHV-8 status not provided | Decrease in prednisone doses | Regression of KS, no flares of giant cell arteritis |
| Di Giacomo et al. [30] | 69/M | Giant cell arteritis | Glucocorticoids (oral prednisone) | 3 Months | Skin lesions lower extremities | HIV status not provided, HHV-8 status not provided | Decrease in prednisone, change to methyl-fluoro-prednisolone | Status of KS not available, flare of giant cell arteritis |
| Soria et al. [32] | 45/F | Giant cell arteritis | Glucocorticoids (oral prednisone) | 3 Years | Skin lesions upper and lower extremities, face, trunk | HIV status not provided, HHV-8 status not provided | Decrease in prednisone, vincristine, radiation therapy | Regression of KS, status of giant cell arteritis not provided |
| Kuttikat et al. [35] | 79/F | Giant cell arteritis | Glucocorticoids (oral prednisolone) | 6 Weeks | Skin lesions on trunk, lower extremities | HIV negative, HHV-8 positive | Taper of prednisone with discontinuation | Resolution of KS, no flares of giant cell arteritis |
| Kotter et al. [34] | 29/M | Behcet’s disease | Glucocorticoids (oral prednisolone), cyclosporine A, azathioprine | 3 Years | Skin, gastric mucosa, hard palate, pulmonary | HIV negative, HHV-8 positive | Discontinuation of azathioprine and cyclosporine A, taper prednisolone | Ocular disease flared requiring treatment with interferon alpha, both diseases in remission |
| Mezalek et al. [36] | 44/M | Behcet’s disease | Glucocorticoids (IV followed by oral prednisolone), IV cyclophosphamide × 6 then azathioprine | 10 Months | Skin lesions on lower extremities | HIV negative, HHV-8 positive | Discontinuation of azathioprine, decrease glucocorticoid dose | Ocular disease flared requiring treatment with interferon alpha, both diseases in remission |
| Schulhafer et al. [31] | 61/M | IgA vasculitis | Glucocorticoids (intravenous prednisolone, oral prednisone), chlorpropamide | 6 Months | Skin lesions trunk | HIV status not provided, HHV-8 status not provided | Decrease in prednisone | Regression of KS, IgA vasculitis flared requiring repeat prednisone treatment followed by discontinuation |
| Vincent et al. [33] | 79/F |
Leukocytoclastic vasculitis |
Glucocorticoids (oral prednisone) | 3 Months | Skin lesions on trunk, upper and lower extremities | HIV status not provided, HHV-8 positive | Not provided | Not provided |
F Female, GPA granulomatosis with polyangiitis, HHV-8 human herpesvirus 8, HIV human immunodeficiency virus, IV intravenous, KS Kaposi sarcoma, M male, MPA microscopic polyangiitis, MPO myeloperoxidase, PR3 Proteinase 3