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LETTER TO EDITOR
Year : 2018  |  Volume : 5  |  Issue : 3  |  Page : 208

Intimal sarcoma of the popliteal artery presenting as popliteal artery aneurysm: A rare case report


Department of Paediatrics, Al-Kindy College of Medicine, University of Baghdad, Baghdad, Iraq

Date of Web Publication8-Aug-2018

Correspondence Address:
Prof. Mahmood Dhahir Al-Mendalawi
Department of Paediatrics, Al-Kindy College of Medicine, University of Baghdad, Baghdad
Iraq
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijves.ijves_37_18

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How to cite this article:
Al-Mendalawi MD. Intimal sarcoma of the popliteal artery presenting as popliteal artery aneurysm: A rare case report. Indian J Vasc Endovasc Surg 2018;5:208

How to cite this URL:
Al-Mendalawi MD. Intimal sarcoma of the popliteal artery presenting as popliteal artery aneurysm: A rare case report. Indian J Vasc Endovasc Surg [serial online] 2018 [cited 2018 Dec 10];5:208. Available from: http://www.indjvascsurg.org/text.asp?2018/5/3/208/238733



Sir,

Garg et al. nicely described a case of intimal sarcoma of the popliteal artery presenting as popliteal artery aneurysm in an 8-month-old Indian infant.[1] In the view of the rarity of that malignant tumor and its aggressive nature, I presume that the authors should take into consideration defective immune status in the studied infant. Among immunodeficient states, infection with human immunodeficiency virus (HIV) is the leading. My presumption is based on the following point. It is explicit that children with perinatal exposure to HIV are at increased risk to various neoplasms compared to nonexposed counterparts.[2] To my knowledge, HIV infection is a significant health hazard in India. Although no recent data are yet present on the pediatric HIV seroprevalence, the available data pointed out to the substantial HIV seroprevalence rate of 1.03% among pregnant in India.[3] The HIV status of the mother of the studied patient was regrettably not determined. I presume that some sort of vertical HIV transmission needed to be considered in the studied infant. Hence, contemplating the diagnostic set of CD4 count and viral overload measurements was envisaged in the studied infant. If that diagnostic set was accomplished and it disclosed HIV infection, the case in question could be truly regarded a novel case report. This is because HIV-associated intimal vascular sarcoma has never been reported in the pediatric literature till date.

Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Garg MK, Satwik A, Yadav A, Agarwal S, Bedi VS. Intimal sarcoma of the popliteal artery presenting as popliteal artery aneurysm: A rare case report. Indian J Vasc Endovasc Surg 2018;5:111-4.  Back to cited text no. 1
  [Full text]  
2.
Kest H, Brogly S, McSherry G, Dashefsky B, Oleske J, Seage GR 3rd, et al. Malignancy in perinatally human immunodeficiency virus-infected children in the United States. Pediatr Infect Dis J 2005;24:237-42.  Back to cited text no. 2
    
3.
Sibia P, Mohi MK, Kumar A. Seroprevalence of human immunodeficiency virus among antenatal women in one of the institute of Northern India. J Clin Diagn Res 2016;10:QC08-9.  Back to cited text no. 3
    




 

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