{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T10:27:08Z","timestamp":1777026428487,"version":"3.51.4"},"reference-count":26,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2014,6,25]],"date-time":"2014-06-25T00:00:00Z","timestamp":1403654400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Dermatology"],"published-print":{"date-parts":[[2014,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>There are few epidemiological data available on rare skin cancer, including Kaposi's sarcoma (<jats:styled-content style=\"fixed-case\">KS<\/jats:styled-content>), which is a multifocal illness affecting the skin, mucosa, and viscera. Four different types of <jats:styled-content style=\"fixed-case\">KS<\/jats:styled-content> have been described: classic, <jats:styled-content style=\"fixed-case\">AIDS<\/jats:styled-content>\u2010associated, iatrogenic, and African. The purpose of this study was to describe the epidemiology and evolution of the different types of <jats:styled-content style=\"fixed-case\">KS<\/jats:styled-content> in the Doubs region of France.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patients and methods<\/jats:title><jats:p>A retrospective population\u2010based study was conducted, including 57 patients with <jats:styled-content style=\"fixed-case\">KS<\/jats:styled-content> from the Doubs region between 1977 and 2009. These patients were identified by the tumor registry of the Doubs region.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A larger proportion of <jats:styled-content style=\"fixed-case\">AIDS<\/jats:styled-content>\u2010associated <jats:styled-content style=\"fixed-case\">KS<\/jats:styled-content> (61%) was observed compared to classic <jats:styled-content style=\"fixed-case\">KS<\/jats:styled-content> (30%) and iatrogenic <jats:styled-content style=\"fixed-case\">KS<\/jats:styled-content> (9%). No cases of African <jats:styled-content style=\"fixed-case\">KS<\/jats:styled-content> were observed. Most new cases were observed between 1987 and 1996 due to the <jats:styled-content style=\"fixed-case\">AIDS<\/jats:styled-content> explosion. The patients were predominantly male, with a male\/female ratio at 10\u00a0:\u00a04 (34 for <jats:styled-content style=\"fixed-case\">AIDS<\/jats:styled-content>\u2010associated <jats:styled-content style=\"fixed-case\">KS<\/jats:styled-content>). The mean age of patients was 50.2 (higher in classic and iatrogenic <jats:styled-content style=\"fixed-case\">KS<\/jats:styled-content> and lower in <jats:styled-content style=\"fixed-case\">AIDS<\/jats:styled-content>\u2010associated <jats:styled-content style=\"fixed-case\">KS<\/jats:styled-content>). Mucosal and visceral forms were more common in <jats:styled-content style=\"fixed-case\">AIDS<\/jats:styled-content>\u2010associated <jats:styled-content style=\"fixed-case\">KS<\/jats:styled-content>, explaining the higher rate of mortality due to <jats:styled-content style=\"fixed-case\">KS<\/jats:styled-content> (21%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>KS, which used to be a rare illness, as it existed only in the classic form, has become more common since the appearance of <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content> and, to a lesser extent, of immunosuppressive treatment.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ijd.12453","type":"journal-article","created":{"date-parts":[[2014,6,25]],"date-time":"2014-06-25T06:51:48Z","timestamp":1403679108000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Kaposi's sarcoma: a population\u2010based cancer 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