Kaposi’s sarcoma
This is a prominent, light to dark red tumor
in the conjunctival fornix or pro-ceeding from the palpebral conjunctiva. It
consists of malignant spindle cells and nests of atypical endothelial cells.
Today Kaposi’s sarcomas are seen most frequently as opportunistic disease in
patients with AIDS (Acquired Immune Deficiency Syndrome).
The ophthalmologist can make a tentative diagnosisof AIDS on the basis of
typical clinical signs on the conjunctiva and order further diagnostic studies
(Fig. 4.26). Recently there has been
evidence that herpes virus (HHV-8) is involved in the development of Kaposi’s
sarcoma.
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