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He had no history of interest, except for sexual relations with men. Human immunodeficiency virus (HIV) serology was positive. The CD4 cell count was 130 cells/mL and the viral load was 428,000 copies/mL. A computerized axial tomography showed supra and infradiaphragmatic lymphadenopathy. The pathological examination of the skin lesions was diagnostic of Kaposi’s sarcoma (KS). Antiretroviral treatment based on integrase inhibitors and doxorubicin was started with improvement of the skin and moderate lymphadenopathy regression.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">KS is a malignant skin neoplasm caused by the human herpesvirus-8. It is more common in the HIV-infected population, the elderly, the sub-Saharan population, and transplant recipients. Its early suspicion is essential, since HIV-related KS can be effectively treated with antiretroviral therapy without adjuvant chemotherapy or radiotherapy. Early diagnosis, due to improved screening programmes and highly active antiretroviral therapy, has made advanced KS diagnosis rare in developed countries.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Ethical considerations</span><p id="par0015" class="elsevierStylePara elsevierViewall">Informed consent was obtained from the patient who approved the use of clinical data, images and any clinical material related to his disease for scientific and publication purposes.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:1 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Ethical considerations" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:1 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1113 "Ancho" => 1667 "Tamanyo" => 387420 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/23870206/0000015900000005/v1_202209020725/S2387020622003837/v1_202209020725/en/main.assets" "Apartado" => array:4 [ "identificador" => "51820" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images in medicine" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/23870206/0000015900000005/v1_202209020725/S2387020622003837/v1_202209020725/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020622003837?idApp=UINPBA00004N" ]
