Grade 3 Lymphomatoid Granulomatosis in a Patient Receiving Methotrexate Therapy for Rheumatoid Arthritis

被引:13
作者
Oiwa, Hiroshi [1 ]
Mihara, Keichiro [2 ]
Kan, Takanobu [3 ]
Tanaka, Maiko [3 ]
Shindo, Hajime [3 ]
Kumagai, Kazuhiko [1 ]
Sugiyama, Eiji [1 ]
机构
[1] Hiroshima Univ Hosp, Dept Clin Immunol & Rheumatol, Hiroshima, Japan
[2] Hiroshima Univ, Dept Hematol & Oncol, Res Inst Radiat Biol & Med, Hiroshima 730, Japan
[3] Hiroshima Univ, Hiroshima Univ Hosp, Dept Dermatol, Hiroshima 730, Japan
关键词
lymphomatoid granulomatosis; methotrexate (MTX); rheumatoid arthritis;
D O I
10.2169/internalmedicine.53.2593
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Lymphomatoid granulomatosis (LyG) is a rare, B-cell derived, lymphoproliferative disorder that often presents as pulmonary nodular lesions with a histopathology of lymphatic invasion of the vascular wall. The development of LyG may be associated with reactivation of the Epstein-Barr virus under an immunosuppressive state. We herein report a case of Grade 3 LyG that developed during methotrexate therapy for rheumatoid arthritis and regressed following the withdrawal of the drug.
引用
收藏
页码:1873 / 1875
页数:3
相关论文
共 9 条
[1]   Primary pulmonary lymphoma [J].
Cadranel, J ;
Wislez, M ;
Antoine, M .
EUROPEAN RESPIRATORY JOURNAL, 2002, 20 (03) :750-762
[2]  
Hoshida Y, 2007, J RHEUMATOL, V34, P322
[3]  
Inaba Megumi, 2011, Nihon Kokyuki Gakkai Zasshi, V49, P597
[4]   Lymphomatoid granulomatosis and diffuse alveolar damage associated with methotrexate therapy in a patient with rheumatoid arthritis [J].
Kameda, Hideto ;
Okuyama, Ayumi ;
Tamaru, Jun-ichi ;
Itoyama, Shinji ;
Iizuka, Atsushi ;
Takeuchi, Tsutomu .
CLINICAL RHEUMATOLOGY, 2007, 26 (09) :1585-1589
[5]   Reversible iatrogenic, MTX-associated EBV-driven lymphoproliferation with histopathological features of a lymphomatoid granulomatosis in a patient with rheumatoid arthritis [J].
Kobayashi, Shinichi ;
Kikuchi, Yuichi ;
Sato, Kimiya ;
Matsukuma, Susumu ;
Matsuki, Yasunori ;
Horikoshi, Hideyuki ;
Nagumo, Morichika ;
Kobayashi, Ayako ;
Masuoka, Kazuhiro ;
Kimura, Fumihiko ;
Oshima, Satoshi ;
Hakozaki, Yukiya ;
Kondo, Toshiro .
ANNALS OF HEMATOLOGY, 2013, 92 (11) :1561-1564
[6]   Lymphomas in rheumatoid arthritis patients treated with methotrexate: a 3-year prospective study in France [J].
Mariette, X ;
Cazals-Hatem, D ;
Warszawki, J ;
Liote, F ;
Balandraud, N ;
Sibilia, J .
BLOOD, 2002, 99 (11) :3909-3915
[7]  
Pittaluga S., 2008, WHO CLASSIFICATION T, V4, P247
[8]  
Schalk E, 2009, ONKOLOGIE, V32, P440, DOI [10.1159/000218356, 10.1159/000226995]
[9]   Methotrexate-related lymphomatoid granulomatosis: a case report of spontaneous regression of large tumours in multiple organs after cessation of methotrexate therapy in rheumatoid arthritis [J].
Shimada, K. ;
Matsui, T. ;
Kawakami, M. ;
Nakayama, H. ;
Ozawa, Y. ;
Mitomi, H. ;
Tohma, S. .
SCANDINAVIAN JOURNAL OF RHEUMATOLOGY, 2007, 36 (01) :64-67