Journal of Internal Medicine Concepts & Practice ›› 2026, Vol. 21 ›› Issue (01): 68-73.doi: 10.16138/j.1673-6087.2026.01.10

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Features of multi-organ involvement and management strategies in AIDS-related Kaposi sarcoma

ZHANG Yaping(), WANG Li, HE Yuanhong, YIN Ke, YANG Tongtong*()   

  1. Department of Infectious Disease, Clinical Medical Center of Public Health of Chengdu, Chengdu 610000, China
  • Received:2026-01-19 Revised:2026-02-05 Accepted:2026-02-06 Online:2026-02-25 Published:2026-04-08

Abstract:

Kaposi sarcoma (KS) is a multicentric tumor closely associated with immunosuppression and KS-associated herpesvirus (KSHV) infection. The synergistic interaction between KSHV infection and human immunodeficiency virus (HIV) infection promotes the occurrence and progression of acquired immunodeficiency syndrome (AIDS)-associated KS (AIDS-KS). AIDS-KS is one of the most common malignancies in AIDS patients and thus requires high clinical attention. This article systematically reviews the multicentric pathogenesis of AIDS-KS, the specific clinical manifestations of involvement in different organs and stratified diagnostic and therapeutic strategies, with particular emphasis on the importance of combining antiretroviral therapy (ART) and targeted therapy in disease management. The implementation of individualized and multidisciplinary comprehensive management strategies can better control disease progression and improve patients’ quality of life as well as prognosis.

Key words: acquired immunodeficiency syndrome, Kaposi sarcoma, pathogenesis, organ involvement, antiretroviral therapy, diagnostic and therapeutic strategies

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