Azathioprine-induced EBV-positive mucocutaneous ulcer

被引:41
作者
McGinness, Jamie L. [1 ]
Spicknall, Kerith E. [1 ]
Mutasim, Diya F. [1 ]
机构
[1] Univ Cincinnati, Coll Med, Dept Dermatol, Cincinnati, OH 45267 USA
关键词
azathioprine; EBV; lymphoproliferative disorder; EPSTEIN-BARR-VIRUS; LYMPHOPROLIFERATIVE DISEASE; RHEUMATOID-ARTHRITIS; PATIENT; IMMUNODEFICIENCY; INFECTION; LYMPHOMA; THERAPY;
D O I
10.1111/j.1600-0560.2011.01829.x
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
Epstein-Barr virus (EBV)-positive mucocutaneous ulcer was recently described as a clinicopathologic entity occurring secondary to iatrogenic or age-related immune suppression. The histopathology of EBV-positive mucocutaneous ulcer reveals a polymorphous infiltrate including atypical large B-cells and Reed-Sternberg-like cells which are CD20-positive, CD30-positive and EBV-positive. The disorder follows an indolent and self-limited course. We report a case of EBV-positive mucocutaneous ulcer secondary to prolonged use of azathioprine for the treatment of pemphigoid and highlight the need for recognition of this disorder by dermatopathologists and dermatologists.
引用
收藏
页码:377 / 381
页数:5
相关论文
共 13 条
[1]   Iatrogenic immunodeficiency-associated lymphoproliferative disease of the Hodgkin lymphoma-like variant in a patient treated with mycophenolate mofetil for autoimmune hepatitis [J].
Adams, Betsy ;
Lazarchick, John ;
Medina, Ana Maria ;
Willner, Ira R. ;
Neville, Brad ;
Murphy, Edward ;
Stuart, Robert ;
Costa, Luciano J. .
AMERICAN JOURNAL OF HEMATOLOGY, 2010, 85 (08) :627-629
[2]   Epstein-Barr virus infection. [J].
Cohen, JI .
NEW ENGLAND JOURNAL OF MEDICINE, 2000, 343 (07) :481-492
[3]   EPSTEIN-BARR-VIRUS LYMPHOPROLIFERATIVE DISEASE ASSOCIATED WITH ACQUIRED IMMUNODEFICIENCY [J].
COHEN, JI .
MEDICINE, 1991, 70 (02) :137-160
[4]   Transient iatrogenic immunodeficiency-related B-cell lymphoproliferative disorder of the skin in a patient with mycosis fungoides/Sezary syndrome [J].
Curry, Jonathan L. ;
Prieto, Victor G. ;
Jones, Dan M. ;
Vega, Franscisco ;
Duvic, Madeleine ;
Diwan, A. Hafeez .
JOURNAL OF CUTANEOUS PATHOLOGY, 2011, 38 (03) :295-297
[5]   EBV Positive Mucocutaneous Ulcer-A Study of 26 Cases Associated With Various Sources of Immunosuppression [J].
Dojcinov, Stefan D. ;
Venkataraman, Girish ;
Raffeld, Mark ;
Pittaluga, Stefania ;
Jaffe, Elaine S. .
AMERICAN JOURNAL OF SURGICAL PATHOLOGY, 2010, 34 (03) :405-417
[6]  
Gaulard P, 2008, WHO Classification Tumours Haematopoietic Lymphoid Tissues, P350
[7]   REVERSIBLE LYMPHOMA IN THE SETTING OF AZATHIOPRINE THERAPY FOR CROHNS-DISEASE [J].
LARVOL, L ;
SOULE, JC ;
LETOURNEAU, A .
NEW ENGLAND JOURNAL OF MEDICINE, 1994, 331 (13) :883-884
[8]  
LIOTE F, 1995, J RHEUMATOL, V22, P1174
[9]   Spontaneous regression of EBV-associated diffuse lymphoproliferative disease in a patient with rheumatoid arthritis after discontinuation of etanercept treatment [J].
Park, Sung-Hoon ;
Kim, Chae-Gi ;
Kim, Ji-Young ;
Choe, Jung-Yoon .
RHEUMATOLOGY INTERNATIONAL, 2008, 28 (05) :475-477
[10]   Epstein-Barr virus-associated lymphoproliferative disease during methotrexate therapy for psoriasis [J].
Paul, C ;
LeTourneau, A ;
Cayuela, JM ;
Devidas, A ;
Robert, C ;
Molinie, V ;
Dubertret, L .
ARCHIVES OF DERMATOLOGY, 1997, 133 (07) :867-871