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Dermatology · Skin tumours: Kaposi sarcoma
Sample itemA man with HIV has violaceous plaques on the legs and palate. Biopsy shows spindle cells forming slit-like vascular spaces with extravasated red cells. Which virus is the cause?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Human herpesvirus 8
Kaposi sarcoma is caused by HHV-8 (KSHV), and the LANA-1 antigen is demonstrated in tumour cells. In AIDS patients, antiretroviral therapy often causes regression.
Option by option
A. Human herpesvirus 6
HHV-6 causes roseola.
B. Human papillomavirus 16
HPV 16 causes anogenital squamous neoplasia.
C. Human herpesvirus 8 (correct)
Correct. HHV-8 is the causative agent.
D. Epstein-Barr virus
EBV causes mononucleosis and Burkitt lymphoma.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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