Case Report

Kaposi's sarcoma in an Ankylosing Spondylitis patient treated with Anti-Tumor Necrosis Factor-Alpha (Anti-TNF-α) Therapy

Volume: 4 Number: 1 January 29, 2022
EN

Kaposi's sarcoma in an Ankylosing Spondylitis patient treated with Anti-Tumor Necrosis Factor-Alpha (Anti-TNF-α) Therapy

Abstract

Tumor necrosis factor-alpha (TNF-α) inhibitors are immunosuppressive agents used in a variety of inflammatory diseases, including rheumatoid arthritis (RA), spondyloarthritis, psoriasis, and inflammatory bowel disease (IBD). Kaposi’s sarcoma (KS) is an angioproliferative disease associated with the human herpes virus 8 (HHV-8). We present a 46-year-old male patient with ankylosing spondylitis (AS) treated with TNF-α inhibitor and developed KS during follow-up. The coexistence of anti-TNF-α treatment with KS is a rare condition. This case is presented to address this rare association. Therefore, keeping in mind KS, which is a type of skin tumor, in such HIV-negative patients in whom immunosuppressive agents are initiated, is essential in terms of early diagnosis, treatment, and prevention of complications.

Keywords

Supporting Institution

yok

References

  1. Acurcio FA, Guerra Junior AA, da Silva MRR, Pereira RG, Godman B, Bennie M, Nedjar H, Rahme E. Comparative persistence of anti-tumor necrosis factor therapy in ankylosing spondylitis patients: a multicenter international study. Curr Med Res Opin. 2020 Apr;36(4):677-86. doi: 10.1080/03007995.2020.1722945.
  2. Koo S, Marty FM, Baden LR. Infectious complications associated with immunomodulating biologic agents. Hematol Oncol Clin North Am. 2011 Feb;25(1):117-38. doi: 10.1016/j.hoc.2010.11.009.
  3. Beutler B. TNF, immunity and inflammatory disease: lessons of the past decade. J Investig Med. 1995 Jun;43(3):227-35.
  4. García-Doval I, Hernández MV, Vanaclocha F, Sellas A, de la Cueva P, Montero D; BIOBADADERM and BIOBADASER study groups. Should tumour necrosis factor antagonist safety information be applied from patients with rheumatoid arthritis to psoriasis? Rates of serious adverse events in the prospective rheumatoid arthritis BIOBADASER and psoriasis BIOBADADERM cohorts. Br J Dermatol. 2017 Mar;176(3):643-9. doi: 10.1111/bjd.14776.
  5. Martin JN, Ganem DE, Osmond DH, Page-Shafer KA, Macrae D, Kedes DH. Sexual transmission and the natural history of human herpesvirus 8 infection. N Engl J Med. 1998 Apr 2;338(14):948-54. doi: 10.1056/ NEJM199804023381403.
  6. Gao SJ, Kingsley L, Hoover DR, Spira TJ, Rinaldo CR, Saah A, Phair J, Detels R, Parry P, Chang Y, Moore PS. Seroconversion to antibodies against Kaposi’s sarcoma- associated herpesvirus-related latent nuclear antigens before the development of Kaposi’s sarcoma. N Engl J Med. 1996 Jul 25;335(4):233-41. doi: 10.1056/NEJM199607253350403.
  7. Baykal C, Atci T, Buyukbabani N, Kutlay A. The Spectrum of Underlying Causes of Iatrogenic Kaposi’s Sarcoma in a Large Series: A Retrospective Study. Indian J Dermatol. 2019 Sep-Oct;64(5):392-399. doi: 10.4103/ijd.IJD_217_18.
  8. Klepp O, Dahl O, Stenwig JT. Association of Kaposi’s sarcoma and prior immunosuppressive therapy: a 5-year material of Kaposi’s sarcoma in Norway. Cancer. 1978 Dec;42(6):2626-30.

Details

Primary Language

English

Subjects

​Internal Diseases

Journal Section

Case Report

Publication Date

January 29, 2022

Submission Date

June 4, 2021

Acceptance Date

November 26, 2021

Published in Issue

Year 1970 Volume: 4 Number: 1

APA
Hakbilen, S., Tezcan, D., & Yilmaz, S. (2022). Kaposi’s sarcoma in an Ankylosing Spondylitis patient treated with Anti-Tumor Necrosis Factor-Alpha (Anti-TNF-α) Therapy. Turkish Journal of Internal Medicine, 4(1), 49-53. https://doi.org/10.46310/tjim.945846
AMA
1.Hakbilen S, Tezcan D, Yilmaz S. Kaposi’s sarcoma in an Ankylosing Spondylitis patient treated with Anti-Tumor Necrosis Factor-Alpha (Anti-TNF-α) Therapy. Turk J Int Med. 2022;4(1):49-53. doi:10.46310/tjim.945846
Chicago
Hakbilen, Selda, Dilek Tezcan, and Sema Yilmaz. 2022. “Kaposi’s Sarcoma in an Ankylosing Spondylitis Patient Treated With Anti-Tumor Necrosis Factor-Alpha (Anti-TNF-α) Therapy”. Turkish Journal of Internal Medicine 4 (1): 49-53. https://doi.org/10.46310/tjim.945846.
EndNote
Hakbilen S, Tezcan D, Yilmaz S (January 1, 2022) Kaposi’s sarcoma in an Ankylosing Spondylitis patient treated with Anti-Tumor Necrosis Factor-Alpha (Anti-TNF-α) Therapy. Turkish Journal of Internal Medicine 4 1 49–53.
IEEE
[1]S. Hakbilen, D. Tezcan, and S. Yilmaz, “Kaposi’s sarcoma in an Ankylosing Spondylitis patient treated with Anti-Tumor Necrosis Factor-Alpha (Anti-TNF-α) Therapy”, Turk J Int Med, vol. 4, no. 1, pp. 49–53, Jan. 2022, doi: 10.46310/tjim.945846.
ISNAD
Hakbilen, Selda - Tezcan, Dilek - Yilmaz, Sema. “Kaposi’s Sarcoma in an Ankylosing Spondylitis Patient Treated With Anti-Tumor Necrosis Factor-Alpha (Anti-TNF-α) Therapy”. Turkish Journal of Internal Medicine 4/1 (January 1, 2022): 49-53. https://doi.org/10.46310/tjim.945846.
JAMA
1.Hakbilen S, Tezcan D, Yilmaz S. Kaposi’s sarcoma in an Ankylosing Spondylitis patient treated with Anti-Tumor Necrosis Factor-Alpha (Anti-TNF-α) Therapy. Turk J Int Med. 2022;4:49–53.
MLA
Hakbilen, Selda, et al. “Kaposi’s Sarcoma in an Ankylosing Spondylitis Patient Treated With Anti-Tumor Necrosis Factor-Alpha (Anti-TNF-α) Therapy”. Turkish Journal of Internal Medicine, vol. 4, no. 1, Jan. 2022, pp. 49-53, doi:10.46310/tjim.945846.
Vancouver
1.Selda Hakbilen, Dilek Tezcan, Sema Yilmaz. Kaposi’s sarcoma in an Ankylosing Spondylitis patient treated with Anti-Tumor Necrosis Factor-Alpha (Anti-TNF-α) Therapy. Turk J Int Med. 2022 Jan. 1;4(1):49-53. doi:10.46310/tjim.945846

30994   34277 29166

 

Turkish Journal of Internal Medicine, hosted by DERGİPARK, is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

by-nc-nd.png