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Traitement par coagulation au plasma argon (APC) d’un sarcome de Kaposi duodénal

Argon plasma coagulation (APC) therapy for diminutive duodenal Kaposi’s Sarcoma

  • Published:
Acta Endoscopica

Résumé

Quatre formes de sarcome de kaposi (SK) sont actuellement identifiées (classique, endémique, post-transplantation et épidémique, c’est-à-dire liée au VIH). La forme dite post-transplantation est rare et liée à une immunodépression iatrogène (traitement immunosuppresseur).

Nous présentons le cas clinique d’un patient de 73 ans, traité depuis 1999 par corticoïdes et Azathioprine (100 mg/J) pour une fibrose pulmonaire idiopathique et qui a présenté au cours de l’évolution une réactivation virale B et un sarcome de Kaposi digestif. L’arrêt du traitement immunosuppresseur associé à un traitement local par électrocoagulation au plasma argon des lésions de SK a permis l’évolution rapide vers la guérison.

Summary

Iatrogenic Kaposi’s sarcoma is a rare entity, which usually appears in transplants or in patients undergoing immunosuppressive treatment.

We present the case of a 73-year old man treated with 20mg/day of corticoids and 100mg/day of Azathioprine for an Idiopathic Pulmonary Fibrosis diagnosed in 1999 complicated with a reactivation of Hepatitis B virus and a digestive Kaposi’s sarcoma.

The discontinuation of immunosuppressive therapy together with a local therapy by APC can be proposed as an appropriate treatment policy. To our knowledge this is the first case of a digestive KS treated by argon plasma coagulation (APC).

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Author notes

  1. Calina Atanasiu & R. Benamouzig

    Present address: Service de Gastroentérologie, Hôpital Avicenne, 125, rue de Stalingrad, 93000, Bobigny, France

Authors and Affiliations

  1. Service de Gastroentérologie, Hôpital Avicenne, 125, rue de Stalingrad, 93000, Bobigny, France

    C. Bon, Thouraya Babba, J. J. Raynaud & B. Bejou B.

  2. Service d’Anatomo-pathologie, Hôpital Avicenne, Bobigny, France

    C. Lagorce

Authors
  1. Calina Atanasiu
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  2. C. Bon
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  3. C. Lagorce
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  4. Thouraya Babba
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  5. J. J. Raynaud
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  6. B. Bejou B.
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  7. R. Benamouzig
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Atanasiu, C., Bon, C., Lagorce, C. et al. Traitement par coagulation au plasma argon (APC) d’un sarcome de Kaposi duodénal. Acta Endosc 37, 563–565 (2007). https://doi.org/10.1007/BF02961803

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  • DOI: https://doi.org/10.1007/BF02961803

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