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Variability of HHV8 LNA-1 Immunohistochemical Staining Across the 3 Histologic Stages of HIV-Associated Mucocutaneous Kaposi Sarcoma: Is There a Relationship to Patients' CD4 Counts?

Abstract
The histologic diagnosis of Kaposi sarcoma (KS) can be confirmed with human herpes virus 8 (HHV8) latency-associated nuclear antigen (LNA)-1 immunohistochemistry, which may show variability in distribution and intensity. This retrospective study was aimed at addressing the factors that may contribute to this variability. All cases of mucocutaneous KS diagnosed in a 5-year period at the histopathology department at a tertiary hospital in South Africa with available patients' CD4 counts and HHV8 LNA-1 immunohistochemically stained slides were reviewed, and the biopsy stages of KS (patch/plaque/nodular), CD4 counts, immunohistochemistry staining method (manual vs. automated), and distribution (diffuse/focal) and intensity (strong/weak) of HHV8 LNA-1 staining were recorded. A total of 127 cases were reviewed. No relationship was demonstrated between the median CD4 count and the histologic stages of KS (P = 0.701) or the intensity and distribution of HHV8 immunohistochemical staining using either staining method. Multivariate analysis showed that method of immunohistochemical staining was a significant predictor of distribution (P = 0.006) and intensity (P = 0.044) of staining, and that stage was a significant predictor of distribution of staining (P = 0.033).
AuthorsReena D Mohanlal, Sugeshnee Pather
JournalThe American Journal of dermatopathology (Am J Dermatopathol) Vol. 37 Issue 7 Pg. 530-4 (Jul 2015) ISSN: 1533-0311 [Electronic] United States
PMID26091511 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Antigens, Viral
  • Nuclear Proteins
  • Phosphoproteins
  • latent nuclear antigen (LNA)
Topics
  • AIDS-Related Opportunistic Infections (complications, immunology)
  • Antigens, Viral (analysis)
  • CD4 Lymphocyte Count
  • Cross-Sectional Studies
  • Herpesviridae Infections (complications)
  • Herpesvirus 8, Human
  • Humans
  • Immunohistochemistry (methods)
  • Nuclear Proteins (analysis)
  • Phosphoproteins (analysis)
  • Retrospective Studies
  • Sarcoma, Kaposi (chemistry, immunology, pathology)
  • Skin Neoplasms (chemistry, immunology, pathology)

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