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Kaposi's sarcoma in HIV infected women living in Germany--strong evidence for sexual transmission.

Albrecht H, Helm EB, Plettenberg A, Emminger C, Heise W, Stellbrink HJ; International Conference on AIDS.

Int Conf AIDS. 1993 Jun 6-11; 9: 395 (abstract no. PO-B12-1558).

University Clinic Hamburg.

OBJECTIVE: To assess the natural history of KS in HIV-positive women METHODS: Clinical, epidemiological and immunological data of ten women with biopsy-proven KS living in Germany were evaluated. RESULTS: Mean age was 39.7 years. KS was the first AIDS defining event in 9 and reason for testing in 3. Mean CD4-count was 215/yl. 2 patients were of African origin. 5 patients were heterosexually infected. All but one, a prostitute, had a bisexual HIV-positive partner, 3/4 partners had KS. 3 women were IVDU. 2, possibly all 3, had been prostitutes. Initially, 8 patients had limited, 2 widely disseminated disease. Only 1 patient has not progressed. 6 patients died after a mean follow-up of 16.7 months (range 7 to 43). In 4, death was at least partly attributed to end-stage KS. Survival was longer for non IVDU and for patients with higher CD4-counts at diagnosis. CONCLUSION: KS runs a particularly aggressive course in women. Our data are consistent with a sexually transmissible etiologic agent of KS. Prostitution, an issue yet to be addressed by other authors reporting series of women with KS, was reported in 4 of our patients Further studies need to clarify the significance of this finding.

Publication Types:
  • Meeting Abstracts
Keywords:
  • Acquired Immunodeficiency Syndrome
  • Bisexuality
  • CD4 Lymphocyte Count
  • Female
  • Germany
  • HIV Infections
  • HIV Seropositivity
  • Humans
  • Prostitution
  • Sarcoma, Kaposi
Other ID:
  • 93335123
UI: 102204500

From Meeting Abstracts




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