Variant | Risk group | Typical presentation | Ā |
---|---|---|---|
Classic*ā or sporadic | Middle aged and elderly individuals of Eastern European, Middle Eastern or Mediterranean Origin. Men affected more often than women | Lower limb cutaneous lesions. Mucosal and visceral disease are rare | Not Immunocompromised |
Endemic*ā | Individuals (children and adults) from sub-Saharan Africa, who are HIV negative | Adults present with lower limb cutaneous lesions. Children may present with lymph node involvement and lymphedema and have a more aggressive natural history | |
MSMā | MSM without HIV infection. Often young or middle aged | Usually presents as cutaneous KS (any site). Mucosal and visceral disease are rare | |
HIV associated KS*ā | HIV infected, especially homosexual or bisexual men. KS risk rises with declining CD4 count | Multiple cutaneous lesions on limb, trunk and face. Mucosal and visceral lesions occur in 15ā20% of patients | Immunocompromised |
Iatrogenic*ā | Patients receiving immunosuppressive medication. Most common in patients receiving organ transplantation | Usually presents as cutaneous KS (any site). Mucosal and visceral disease can occur |