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阴茎卡波济氏肉瘤是爱滋病的最初表现,作者报道2例。病例报道:例1为男性28岁因静脉注射毒品表现为阴茎龟头有红紫色结节,活检怀疑是卡波济氏肉瘤,诊断为HIV的感染。例2为26岁男性因静脉注射毒品过量后阴茎、阴囊及腿部皮肤结节病变,有发热、痴呆定和向力障碍,诊断为HIV感染。患者死后尸检发现,肺脾多发脓肿、卡氏肺囊虫肺炎、念珠菌性脑膜炎、中枢神经脱髓鞘和严重神经胶质增生,肾上腺有巨细胞病毒(CMV)包涵体和出血性坏死。皮肤结节为卡波济氏肉瘤。爱滋病最初被描述成卡波济氏肉瘤综合征及机会性感染,流行病学上认为与男性同性恋有关。该肿瘤是慢性恶性过程的非典型梭形细胞和血管间质增生,
Penile Kaposi’s sarcoma is the first manifestation of AIDS, the authors report in 2 cases. Case Report: Example 1 Male 28-year-old due to intravenous drug showed penis glaucoma with purple-red nodules, biopsy suspected Kaposi’s sarcoma diagnosis of HIV infection. Example 2 A 26-year-old man diagnosed with HIV infection after intravenous injection of drug over the penis, scrotum, and leg skin nodules with fever, dementia, and disability. Postmortem autopsies revealed multiple lung and spleen abscesses, Pneumocystis carinii pneumonia, Candida meningitis, demyelination of the central nervous system and severe glial hyperplasia, CMV inclusions and hemorrhagic necrosis in the adrenal gland . Skin nodules are Kaposi’s sarcomas. AIDS was first described as Kaposi’s sarcoma syndrome and opportunistic infections, epidemiologically considered to be associated with homosexual men. The tumor is an atypical spindle cell and vascular interstitial hyperplasia of chronic malignant processes,