[lbo-talk] 24 years ago today...

Jim from_alamut at yahoo.com
Sun Jul 3 17:06:50 PDT 2005


Actaully, I read something about this in 79 when the first cases started poping up. Kind of strange that this form of cancer is very rare in AIDS patients today even those at the terminal stage.

--- Doug Henwood <dhenwood at panix.com> wrote:


> ...the era of AIDS began.
>
>
>
<http://www.nytimes.com/1981/07/03/health/03AIDS.html>
>
> New York Times - July 3, 1981
>
> Rare Cancer Seen in 41 Homosexuals
> By Lawrence K. Altman
>
> Doctors in New York and California have diagnosed
> among homosexual
> men 41 cases of a rare and often rapidly fatal form
> of cancer. Eight
> of the victims died less than 24 months after the
> diagnosis was made.
>
> The cause of the outbreak is unknown, and there is
> as yet no evidence
> of contagion. But the doctors who have made the
> diagnoses, mostly in
> New York City and the San Francisco Bay area, are
> alerting other
> physicians who treat large numbers of homosexual men
> to the problem
> in an effort to help identify more cases and to
> reduce the delay in
> offering chemotherapy treatment.
>
> The sudden appearance of the cancer, called Kaposi's
> Sarcoma, has
> prompted a medical investigation that experts say
> could have as much
> scientific as public health importance because of
> what it may teach
> about determining the causes of more common types of
> cancer.
>
> First Appears in Spots
>
> Doctors have been taught in the past that the cancer
> usually appeared
> first in spots on the legs and that the disease took
> a slow course of
> up to 10 years. But these recent cases have shown
> that it appears in
> one or more violet-colored spots anywhere on the
> body.
>
> The spots generally do not itch or cause other
> symptoms, often can be
> mistaken for bruises, sometimes appear as lumps and
> can turn brown
> after a period of time. The cancer often causes
> swollen lymph glands,
> and then kills by spreading throughout the body.
>
> Doctors investigating the outbreak believe that many
> cases have gone
> undetected because of the rarity of the condition
> and the difficulty
> even dermatologists may have in diagnosing it.
>
> In a letter alerting other physicians to the
> problem, Dr. Alvin E.
> Friedman- Kien of New York University Medical
> Center, one of the
> investigators, described the appearance of the
> outbreak as "rather
> devastating."
>
> Dr. Friedman-Kien said in an interview yesterday
> that he knew of 41
> cases collated in the last five weeks, with the
> cases themselves
> dating to the past 30 months. The Federal Centers
> for Disease Control
> in Atlanta is expected to publish the first
> description of the
> outbreak in its weekly report today, according to a
> spokesman, Dr.
> James Curran. The report notes 26 of the cases - 20
> in New York and
> six in California.
>
> There is no national registry of cancer victims, but
> the nationwide
> incidence of Kaposi's Sarcoma in the past had been
> estimated by the
> Centers for Disease Control to be less than
> six-one-hundredths of a
> case per 100,000 people annually, or about two cases
> in every three
> million people. However, the disease accounts for up
> to 9 percent of
> all cancers in a belt across equatorial Africa,
> where it commonly
> affects children and young adults.
>
> In the United States, it has primarily affected men
> older than 50
> years. But in the recent cases, doctors at nine
> medical centers in
> New York and seven hospitals in California have been
> diagnosing the
> condition among younger men, all of whom said in the
> course of
> standard diagnostic interviews that they were
> homosexual. Although
> the ages of the patients have ranged from 26 to 51
> years, many have
> been under 40, with the mean at 39.
>
> Nine of the 41 cases known to Dr. Friedman-Kien were
> diagnosed in
> California, and several of those victims reported
> that they had been
> in New York in the period preceding the diagnosis.
> Dr. Friedman-Kien
> said that his colleagues were checking on reports of
> two victims
> diagnosed in Copenhagen, one of whom had visited New
> York.
>
> Viral Infections Indicated
>
> No one medical investigator has yet interviewed all
> the victims, Dr.
> Curran said. According to Dr. Friedman-Kien, the
> reporting doctors
> said that most cases had involved homosexual men who
> have had
> multiple and frequent sexual encounters with
> different partners, as
> many as 10 sexual encounters each night up to four
> times a week.
>
> Many of the patients have also been treated for
> viral infections such
> as herpes, cytomegalovirus and hepatitis B as well
> as parasitic
> infections such as amebiasis and giardiasis. Many
> patients also
> reported that they had used drugs such as amyl
> nitrite and LSD to
> heighten sexual pleasure.
>
> Cancer is not believed to be contagious, but
> conditions that might
> precipitate it, such as particular viruses or
> environmental factors,
> might account for an outbreak among a single group.
>
> The medical investigators say some indirect evidence
> actually points
> away from contagion as a cause. None of the patients
> knew each other,
> although the theoretical possibility that some may
> have had sexual
> contact with a person with Kaposi's Sarcoma at some
> point in the past
> could not be excluded, Dr. Friedman-Kien said.
>
> Dr. Curran said there was no apparent danger to
> nonhomosexuals from
> contagion. "The best evidence against contagion," he
> said, "is that
> no cases have been reported to date outside the
> homosexual community
> or in women."
>
> Dr. Friedman-Kien said he had tested nine of the
> victims and found
> severe defects in their immunological systems. The
> patients had
> serious malfunctions of two types of cells called T
> and B cell
> lymphocytes, which have important roles in fighting
> infections and
> cancer.
>
> But Dr. Friedman-Kien emphasized that the
> researchers did not know
> whether the immunological defects were the
> underlying problem or had
> developed secondarily to the infections or drug use.
>
> The research team is testing various hypotheses, one
> of which is a
> possible link between past infection with
> cytomegalovirus and
> development of Kaposi's Sarcoma.
>
>
>
> ___________________________________
>
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>

Jim Davis Ozark Bioregion, USA

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