Official websites use. Share sensitive information only on official, secure websites. Correspondence: I. Among the KS cases diagnosed during the study period, Among these patients, 24 We aimed to describe all KS cases observed between and in a large multicenter French cohort to determine who experienced KS in a country with high ART coverage. The study period for patients included before to 1 January , began on 1 January ; for patients included after 1 January , the study period began at the date of cohort inclusion.
Statistical analyses were performed with SAS software, version 9. Most cases occurred in males The distribution of KS cases according to these three conditions did not differ according to the year of diagnosis. Data concerning KS localization were available for patients The distribution of KS localization did not differ between the three groups or by year of diagnosis Table 2.
However, patients aged more than 50 years had more visceral i. Data not available for 19 Data not available for 3 Data concerning KS localization were available for 48 patients Additionally, the last ART regimen did not differ between those two groups. For these patients, the median delay of KS occurrence was Six patients were on a second line of ART with a median delay of KS occurrence after the switch of 6.
In our study, KS cases that occurred in late presenters were observed indifferently throughout the study period. Although KS may have different clinical presentations 11 sometimes atypical 12 and should occur in conditions other than HIV infection, 13 , 14 nevertheless, cutaneous and mucosal involvement are the most frequent, 15 as we have reported herein, highlighting the important role of dermatologists and general practitioners in HIV screening.
Two recent studies reported, however, that much progress remains to be made in this area. The 36 KS cases occurring in patients who stopped ART confirms the importance of improving retention in care with a specific strategy, as recently reported. However, more worryingly, this study highlights, as observed in studies performed over previous calendar periods, 3 , 22 , 23 that a sustained undetectable HIV viral load and a high CD4 cell count on ART is not enough to completely prevent KS occurrence.
