scholarly journals Changes in Blood B Cell Phenotypes and Epstein‐Barr Virus Load in Chronically Human Immunodeficiency Virus–Infected Patients before and after Antiretroviral Therapy

2010 ◽  
Vol 202 (9) ◽  
pp. 1424-1434 ◽  
Author(s):  
Yolande Richard ◽  
Corinne Amiel ◽  
Vincent Jeantils ◽  
Denis Mestivier ◽  
Alain Portier ◽  
...  
1999 ◽  
Vol 123 (1) ◽  
pp. 83-87
Author(s):  
D. W. Kingma ◽  
B. U. Mueller ◽  
K. Frekko ◽  
L. R. Sorbara ◽  
L. V. Wood ◽  
...  

Abstract The association of the Epstein-Barr virus with human immunodeficiency virus–associated primary central nervous system lymphomas is well known. We describe a pediatric patient infected with human immunodeficiency virus who developed a lesion in the central nervous system that appeared to be histologically reactive and that proved to be an Epstein-Barr virus–associated monoclonal B-cell lymphoproliferative disorder by molecular analysis. An 8-year-old girl was diagnosed with vertically transmitted human immunodeficiency virus infection at age 5, for which she was treated empirically with a combination of zidovudine and didanosine. At the age of 7 years, during evaluation for entry into an antiretroviral protocol, a single hypodense frontal lobe lesion was identified by computed tomography. After unsuccessful treatment for presumed toxoplasmosis and progressive neurologic deterioration, a stereotactic brain biopsy was performed. Although the biopsy contained a polymorphic lymphoid infiltrate that appeared to be cytologically reactive, polymerase chain reaction and in situ hybridization studies revealed a monoclonal Epstein-Barr virus–associated B-cell lymphoproliferative disorder, which was reminiscent of polymorphic B-cell hyperplasia observed in the setting of immunosuppression following organ transplantation. Postoperative therapy included steroids and antiretroviral therapy. The lesion decreased slightly in size, and the child's neurologic status was relatively unremarkable for 5 months. Subsequently, she developed cytomegalovirus retinitis, progressive encephalopathy, and died with pancytopenia. This case represents a newly described manifestation of Epstein-Barr virus–associated lymphoproliferative disorder, a diagnosis that should be considered in patients with neurologic symptoms and immunodeficiency. In addition, this case exhibited histologic features reminiscent of posttransplant lymphoproliferative disease, a histologic pattern that to our knowledge has not previously been reported in the setting of acquired immunodeficiency syndrome.


2013 ◽  
Vol 85 (12) ◽  
pp. 2110-2118 ◽  
Author(s):  
Leila Bertoni Giron ◽  
Suzane Ramos da Silva ◽  
Alexandre Naime Barbosa ◽  
Ricardo Augusto Monteiro de Barros Almeida ◽  
Lenice do Rosário de Souza ◽  
...  

2018 ◽  
Vol 68 (5) ◽  
pp. 834-843 ◽  
Author(s):  
Josep Muncunill ◽  
Maria-Joao Baptista ◽  
Águeda Hernandez-Rodríguez ◽  
Judith Dalmau ◽  
Olga Garcia ◽  
...  

2014 ◽  
Vol 210 (3) ◽  
pp. 392-399 ◽  
Author(s):  
M. R. Petrara ◽  
M. Penazzato ◽  
W. Massavon ◽  
S. Nabachwa ◽  
M. Nannyonga ◽  
...  

2012 ◽  
Vol 53 (3) ◽  
pp. 195-200 ◽  
Author(s):  
Maria Raffaella Petrara ◽  
Anna Maria Cattelan ◽  
Marisa Zanchetta ◽  
Lolita Sasset ◽  
Riccardo Freguja ◽  
...  

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