A prospective description of HIV-associated multicentric Castleman disease in Malawi
Rattachement africain : us. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
Despite high burden of Kaposi sarcoma (KS) and HIV, multicentric Castleman disease (MCD) is rarely reported in sub-Saharan Africa (SSA). A pathology series in Uganda demonstrated latency-associated nuclear antigen (LANA) and viral interleukin-6 positivity by immunohistochemistry (IHC) in 3 of 64 reactive-appearing lymph nodes, consistent with missed MCD diagnoses,1 but this was before antiretroviral therapy (ART) scale-up when MCD may have been relatively infrequent. In South Africa, a pathology series reported many HIV+ B-cell lymphoproliferations without specifically mentioning MCD.2 A retrospective series from South Africa reported 35 MCD cases during 1990–2014, with most cases in the most recent years within this time period.
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