論文

国際誌
2021年1月

Primary hepatic lymphoma as other iatrogenic immunodeficiency-related lymphoproliferative disorders: a case report and review of the literature.

Modern rheumatology case reports
  • Hideaki Tsuji
  • Hajime Yoshifuji
  • Takero Shindo
  • Masakatsu Hishizawa
  • Ayami Ishida
  • Masakazu Fujimoto
  • Koji Kitagori
  • Shuji Akizuki
  • Kosaku Murakami
  • Ran Nakashima
  • Motomu Hashimoto
  • Masao Tanaka
  • Koichiro Ohmura
  • 全て表示

5
1
開始ページ
172
終了ページ
177
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1080/24725625.2020.1826627

We report a case of 68-year-old man with stable polymyositis complicated with primary hepatic lymphoma (PHL) as other iatrogenic immunodeficiency-related lymphoproliferative disorders (OIIA-LPD). Multiple liver masses were diagnosed as diffuse large B-cell lymphoma (DLBCL) by biopsy. The LPD was associated with Epstein-Barr virus (EBV) reactivation, because EBV-DNA was detected in peripheral blood, and EBV antigen was detected in the tumour. He presented with high fever, cytopenia and hyperferritinemia, suggesting hemophagocytosis. Only discontinuation of methotrexate and tacrolimus resulted in a dramatic regression of the liver masses and improvement of fever and cytopenia. We review six cases of OIIA-LPD localised in the liver. All cases were DLBCL; 4/6 cases (67%) were positive for EBV staining, and 2/6 cases (33%) were improved after the discontinuation of immunosuppressants. Screening for EBV in blood and liver tumour is important, when a patient in immunosuppressive status presented with liver masses.

リンク情報
DOI
https://doi.org/10.1080/24725625.2020.1826627
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/32985951
ID情報
  • DOI : 10.1080/24725625.2020.1826627
  • PubMed ID : 32985951

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