与HHV-8相关的多中心卡斯特曼病与同时出现的卡波西肉瘤
Julia L Boland1, Jennifer Kate Beckerman2, Brian T Hanyok3
1Internal Medicine, The George Washington University Hospital, Washington, District of Columbia, USA jboland@gwu.edu.
BMJ case reports
|February 4, 2025
概括
这项案例研究突出了HIV-1阳性患者中与人类疹病毒8 (HHV8) 相关的多中心卡斯特曼病 (MCD) 的不寻常表现. 早期的病理诊断至关重要,特别是当典型的大型淋巴腺病缺席时.
科学领域:
- 在瘤学瘤学.
- 传染性疾病 传染性疾病
- 血液学 血液学 血液学
背景情况:
- 多中心卡斯特曼病 (MCD) 是一种罕见的淋巴增殖性疾病.
- 它通常表现为广泛的淋巴腺病变.
- 人类疹病毒8 (HHV8) 经常与MCD有关,特别是在HIV-1阳性个体中.
研究的目的:
- 报告一种非典型的HHV8相关的MCD病例.
- 为了强调MCD呈现缺少典型淋巴腺病变的诊断挑战.
- 为了强调迅速病理确认的重要性.
主要方法:
- 一个中年男性患者的病例报告,有全身症状.
- 诊断工作包括体检,增强对比度的CT和PET/CT扫描.
- 进行了宫后部淋巴结的组织病理学分析.
主要成果:
- 该患者被诊断为HHV8阳性MCD和同时存在的HIV相关的卡波西肉瘤.
- 非典型的呈现包括肝炎缩和分散的,轻微扩大的淋巴结,没有明显的淋巴腺病变.
- pozitron 发射断层扫描/CT 确定了高代谢性宫淋巴结.
- 用利图西马布和脂质体多克索鲁比治疗没有产生反应.
结论:
- 与HHV8相关的MCD可以在不典型的情况下呈现,而没有大量的淋巴腺病变.
- 及时的病理诊断对于管理MCD至关重要,特别是在HIV-1阳性患者.
- 这一案例凸显了MCD表现和治疗反应的变化.
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