[Conjunctival Kaposi sarcoma].
Kaposi sarcoma is rare and occurs in four forms (classic, endemic, post-transplant and epidemic), which all have the same histological appearance associated with the same viral agent: human herpes virus type 8 (HHV-8). Conjunctival and palpebral locations are, however, rare, and only 30 cases have been described in the literature. We present the case of a 34-year-old woman with conjunctival Kaposi angiosarcoma, with rare bulbar location associated with superior palpebral telangiectases against a rare immunodepression syndrome (common variable immunodeficiency). The treatment consisted of an excision biopsy with an over-and-over suture of a conjunctival rotation flap, combined with anti-HHV-8 chemotherapy to effect a regression of the palpebral lesion. However, the reappearance of a conjunctival lesion on the rim of the excision site required local radiotherapy of approximately 30 Gy, with no recurrence after 1 month.
Sudzinski
J
J
Service d'ophtalmologie, centre Saint-Victor, CHU d'Amiens, 354, boulevard de Beauville, 80054 Amiens, France. juliensudzinskioph@hotmail.fr
Thomas
F
F
Berthout
A
A
Gonthier
M F
MF
Lumbroso-Le Rouic
L
L
Milazzo
S
S
D000328:Adult; D003230:Conjunctival Neoplasms / Q000473:pathology*; D005260:Female; D006801:Humans; D012514:Sarcoma, Kaposi / Q000473:pathology*