Pathology · single question

Kaposi's sarcoma is the most common malignancy seen as a complication of AIDS. Which organism is responsible?

  1. Epstein-Barr virus (EBV)
  2. Human papillomavirus (HPV)
  3. Cytomegalovirus (CMV)
  4. Human herpesvirus 8 (HHV-8)
Show answer and explanation

Correct answer: D. Human herpesvirus 8 (HHV-8)

  • A. EBV is associated with hairy leukoplakia, Burkitt's lymphoma, and nasopharyngeal carcinoma in immunocompromised patients — not Kaposi's sarcoma.
  • B. HPV (especially HPV 16, 18) is associated with oropharyngeal cancer and cervical cancer — not Kaposi's sarcoma.
  • C. CMV causes opportunistic infections in AIDS (retinitis, colitis, pneumonitis) but not Kaposi's sarcoma.
  • D. Correct. Kaposi's sarcoma is caused by HHV-8 (human herpesvirus 8, also called Kaposi's sarcoma-associated herpesvirus/KSHV). In AIDS patients, immunosuppression allows HHV-8 to cause this vascular neoplasm.

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