Authors: ELISA RAE L. COO, MD, MARICARR PAMELA M. LACUESTA-GUTIERREZ, MD, FPDS

Abstract

Introduction: The immune reconstitution inflammatory syndrome (IRIS) is a reaction that occurs against persistent infectious or non-infectious antigens upon initiation of highly active antiretroviral therapy (HAART).

Case Summary: We report a case of an African male with Kaposi Sarcoma (KS) localized on his right leg as an initial presentation of HIV infection. One month after starting HAART, there was increase in leg edema and rapid worsening of his leg lesions which was consistent with KS-associated IRIS. After assessment for dissemination, the patient continued treatment with HAART without chemotherapy.

Conclusion: KS-associated IRIS should not be mistaken as failure of treatment with HAART. Continuing therapy with HAART alone together with careful monitoring in a patient classified as good risk may be a beneficial option in resource limited situations.

Citation

Coo, ER & Lacuesta-Gutierrez, MP (2017). Paradoxical immune reconstitution inflammatory syndrome (IRIS) of Kaposi sarcoma in an HIV-infected African man. Journal of the Philippine Dermatological Society, 26(2), 74-77.

Keywords

Kaposi Sarcoma, KS, Immune reconstitution inflammatory syndrome, IRIS

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