treatment of an early kaposi’s sarcoma case post kidney transplantation by sirolimus: a case report

kaposi᾽s sarcoma (ks) can develop in 0.06% to 4.1% of kidney transplant recipients. here we describe a case of 50-year-old man who developed ks a few months after kidney transplantation . after transplantation, he had delayed graft function and was managed by anti-thymocyte globulin (atg) for five days. at the discharge, his immunosuppressive therapy was prednisolone 20 mg/day, ttacrolimus (pprograf®) 4 mg/day, and mycophenolate mofetil (mmf) 2 gr/day, while he also took vvalcyte and diltiazem. once diagnosed with ks, the prograf ® (tacrolimus)  was replaced by prednisolone (5 mg/day) and sirolimus (2 mg/day). gradually the skin nodule on the patient arm disappeared, and the others nodule on the right his leg was decreased. it seems that the examination of skin should be a part of regular follow-up and dermatologist examination is recommended every 6 months.