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It is uncommon, but possible. In general there aren't any physical symptoms HIV+ people get that HIV- people can't get. It's that certain problems are more commonCommon cold in people with HIV/AIDS.
The same way as those with HIV are, with liposome drugs . People with HIV that are on HAART medications rarely get KS. That's why you rarely here about KS now a days.
However, I have in my practice, and other KS doctors have in their practices, folks with KS who are neither elderly nor HIV- positive.