Mycosis fungoides and Kaposi's sarcoma association in an HIV-negative patient

An Bras Dermatol. 2016 Sep-Oct;91(5 suppl 1):108-110. doi: 10.1590/abd1806-4841.20164401.

Abstract

The association of mycosis fungoides and kaposi's sarcoma in HIV-negative patients is a rare phenomenon. The presence of human herpesvirus 8 (HHV-8) - associated with all forms of Kaposi's sarcoma - has also been recently identified in mycosis fungoides lesions. However, a causal association between HHV-8 and the onset of mycosis fungoides has not been established yet. The present case reports a patient who developed Kaposi's sarcoma lesions after a two-year UVB phototherapy to treat a mycosis fungoides. Negative immunohistochemistry staining for Kaposi's sarcoma-associated herpesvirus in the initial mycosis fungoides lesions strengthens the absence of a link between Kaposi's sarcoma-associated herpesvirus and mycosis fungoides. Immunosuppression caused by the lymphoma and prolonged phototherapy were probably the contribut ing factors for the onset of Kaposi's sarcoma.

Publication types

  • Case Reports

MeSH terms

  • Biopsy
  • Herpesvirus 8, Human / isolation & purification
  • Humans
  • Immunohistochemistry
  • Immunosuppression Therapy
  • Male
  • Middle Aged
  • Mycosis Fungoides / complications*
  • Mycosis Fungoides / pathology*
  • Mycosis Fungoides / therapy
  • Phototherapy
  • Sarcoma, Kaposi / immunology
  • Sarcoma, Kaposi / pathology*
  • Sarcoma, Kaposi / virology*
  • Skin / pathology
  • Skin / virology
  • Skin Neoplasms / immunology
  • Skin Neoplasms / pathology*
  • Skin Neoplasms / virology*