Abstract
A 56-year-old Japanese man was admitted to our hospital due to a fever of unknown origin. He had had a history of extranodal natural killer (NK)/T-cell lymphoma, nasal type, and had been in complete remission for 7 years until June 2003, when he developed high fever, eyelid swelling, and muscular weakness. Serum creatine kinase levels were elevated. Histopathological examination of skin and muscle biopsy specimens revealed subcutaneous infiltration of lymphoid cells positive for CD3, CD56, and Epstein–Barr virus-encoded small nuclear RNA-1. We report this unique case of Epstein–Barr virus-associated lymphoma mimicking dermatomyositis.
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References
BE Barnes (1976) ArticleTitleDermatomyositis and malignancy Ann Intern Med 84 68–76 Occurrence Handle1106291 Occurrence Handle1:STN:280:DyaE28%2Fos1enug%3D%3D
JP Callen (1984) ArticleTitleMyositis and malignancy Clin Rheum Dis 10 117–30 Occurrence Handle6734114 Occurrence Handle1:STN:280:DyaL2c3jsVOlsQ%3D%3D
K Iwatsuki Z Xu M Ohtsuka F Kaneko (2000) ArticleTitleCutaneous lymphoproliferative disorders associated with Epstein–Barr virus infection: a clinical overview J Dermatol Sci 22 181–95 Occurrence Handle10.1016/S0923-1811(99)00084-5 Occurrence Handle10698155 Occurrence Handle1:CAS:528:DC%2BD3cXosVejsg%3D%3D
P Kanavaros MC Lescs J Briere M Divine F Galateau I Joab et al. (1993) ArticleTitleNasal T-cell lymphoma: a clinicopathologic entity associated with peculiar phenotype and with Epstein–Barr virus Blood 81 2688–95 Occurrence Handle8387835 Occurrence Handle1:STN:280:DyaK3s3lslKqsg%3D%3D Occurrence HandleA1993LC49600029
Y Harabuchi S Imai J Wakashima M Hirao A Kataura T Osato et al. (1996) ArticleTitleNasal T-cell lymphoma causally associated with Epstein–Barr virus. Clinicopathogenic, phenotypic, and genotypic studies Cancer 77 2137–40 Occurrence Handle10.1002/(SICI)1097-0142(19960515)77:10<2137::AID-CNCR27>3.0.CO;2-V Occurrence Handle8640683 Occurrence Handle1:STN:280:DyaK283gs1Sgtw%3D%3D Occurrence HandleA1996UJ26200027
T Endo N Kawaguchi M Yashima H Tei H Hayakawa (1993) ArticleTitlePolymyositis-dermatomyositis and Non-Hodgkin's lymphoma Int Med 32 IssueID6 487–9 Occurrence Handle1:STN:280:DyaK2c%2FmtVCqsA%3D%3D
CM Antonioli P Airo (2004) ArticleTitleDermatomyositis associated with lymphoproliferative disorder of NK cells and occult small cell lung carcinoma Rheumatol Clin Immunol 23 IssueID3 238–41
M Ohtsuka K Iwatsuki R Kaneko H Akiba S Kikuchi H Harada et al. (1999) ArticleTitleEpstein–Barr virus-associated lymphoid hyperplasia of the eyelid characterized by intramuscular infiltration Br J Dermatol 140 358–77 Occurrence Handle10.1046/j.1365-2133.1999.02677.x Occurrence Handle10233238 Occurrence Handle1:STN:280:DyaK1M3kvF2ltA%3D%3D
K Shirasaki K Taniuchi T Matsushita Y Hamaguchi M Tanaka K Takehara (2002) ArticleTitleEpstein–Barr virus-associated T-cell lymphoma: a case of eyelid swelling and intramuscular infiltration mimicking dermatomyositis Br J Dermatol 147 1244–8 Occurrence Handle10.1046/j.1365-2133.2002.05037.x Occurrence Handle12452878 Occurrence Handle1:STN:280:DC%2BD38npt1Wlug%3D%3D
M Okano (1998) ArticleTitleEpstein–Barr virus infection and its role in the expanding spectrum of human diseases Acta Paediatr 87 11–8 Occurrence Handle10.1080/08035259850157796 Occurrence Handle9510440 Occurrence Handle1:STN:280:DyaK1c7mvFalsA%3D%3D Occurrence Handle000071945400003
M Tokugawa CE Land Y Uemura T Tokudome S Tanaka E Sato (1993) ArticleTitleEpstein–Barr virus in gastric carcinoma Am J Pathol 143 1250–4
N Raab-Traub K Flynn (1986) ArticleTitleThe structure of the termini of the Epstein–Barr virus as a marker of clonal cellular proliferation Cell 47 883–9 Occurrence Handle3022942 Occurrence Handle1:CAS:528:DyaL2sXnvFCltw%3D%3D
S Ohga A Nomura H Takada (2001) ArticleTitleEpstein–Barr virus (EBV) load and cytokine gene expression in activated T cells of chronic active EBV infection J Infect Dis 183 1–7 Occurrence Handle10.1086/317653 Occurrence Handle11106535 Occurrence Handle1:CAS:528:DC%2BD3MXot1GntA%3D%3D
S Henderson M Rowe C Gregory D Croom-Carter F Wang R Longnecker et al. (1991) ArticleTitleInduction of bcl-2 expression by Epstein–Barr virus latent membrane protein 1 protects infected B cells from programmed cell death Cell 65 1107–15 Occurrence Handle10.1016/0092-8674(91)90007-L Occurrence Handle1648447 Occurrence Handle1:CAS:528:DyaK3MXlvVSmt7o%3D Occurrence HandleA1991FU89900004
SD Hudnall Y Ge L Wei NP Yang HQ Wang T Chen (2005) ArticleTitleDistribution and phenotype of Epstein–Barr virus-infected cells in human pharyngeal tonsils Mod Pathol 18 IssueID4 519–27 Occurrence Handle10.1038/modpathol.3800369 Occurrence Handle15696119
IJ Su CH Wang AL Cheng RL Chen (1995) ArticleTitleHemophagocytic syndrome in Epstein–Barr virus-associated T-lymphoproliferative disorders; disease spectrum, pathogenesis and management Leuk Lymphoma 19 401–6 Occurrence Handle8590839 Occurrence Handle1:STN:280:DyaK287ktFWguw%3D%3D Occurrence Handle10.3109/10428199509112197
T Okamura Y Hatsukawa H Arai M Inoue K Kawa (2000) ArticleTitleBlood stem-cell transplantation for chronic active Epstein–Barr virus with lymphoproliferation Lancet 356 223–4 Occurrence Handle10.1016/S0140-6736(00)02488-0 Occurrence Handle10963205 Occurrence Handle1:STN:280:DC%2BD3cvjtVelsA%3D%3D Occurrence Handle000088179100018
T Uehara C Nakaseko S Hara A Harima M Ejiri A Yokota et al. (2004) ArticleTitleSuccessful control of Epstein–Barr virus (EBV)-infected cells by allogeneic nonmyeloablative stem cell transplantation in a patient with the lethal form of chronic active EBV infection Am J Hematol 76 IssueID4 368–72 Occurrence Handle10.1002/ajh.20121 Occurrence Handle15282671
K Koizumi K Fujimoto Y Haseyama T Endo M Nishio K Yokota et al. (2004) ArticleTitleEffective high-dose chemotherapy combined with CD34+-selected peripheral blood stem cell transplantation in a patient with cutaneous involvement of nasal NK/T-cell lymphoma Eur J Haematol 72 140–4 Occurrence Handle10.1046/j.0902-4441.2003.00170.x Occurrence Handle14962252
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Hashimoto, Y., Hashimoto, N., Furuta, S. et al. A case of Epstein–Barr virus-associated natural killer/T-cell lymphoma presenting as dermatomyositis: extranodal relapse after 7 years in remission. Mod Rheumatol 15, 435–439 (2005). https://doi.org/10.1007/s10165-005-0432-8
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DOI: https://doi.org/10.1007/s10165-005-0432-8