临床表现 临床表现
Swathi T1, Thamil Pavai Swathi2
1Kauvery hospital, Chennai, Tamil nadu, India.
Alzheimer's & dementia : the journal of the Alzheimer's Association
|December 25, 2025
概括
这一案例突出显示了渐进的多焦点白血脑病 (PML) 呈现为痴呆症,在非霍奇金淋巴瘤 (NHL) 治疗后三年被诊断出来. 肯德基病毒DNA证实了PML,这是化学疗法的罕见晚期并发症.
科学领域:
- 神经科学是一个神经科学.
- 在瘤学瘤学.
- 传染性疾病 传染性疾病
背景情况:
- 渐进性多焦点白血脑病 (PML) 是免疫功能低下患者的已知并发症,包括患有恶性瘤或接受化疗的患者.
- 这项研究重点关注PML的罕见病例,该病例是在治疗非霍奇金淋巴瘤 (NHL) 几年后出现的.
研究的目的:
- 在NHL治疗后三年报告一个罕见的PML病例呈现为痴呆症.
- 要突出诊断挑战和晚期呈现的化疗诱导的PML.
主要方法:
- 一名33岁的男性接受了脊柱NHL的放射和R-CHOP化疗治疗,并评估了神经症状.
- 诊断工作包括MRI脑和脑脊液 (CSF) 分析JC病毒DNA.
主要成果:
- 患者呈现出,记忆障碍和行为变化.
- 核磁共振扫描显示白质超强度,脑脊液测试对JC病毒DNA呈阳性,证实PML.
- 差异性诊断包括中枢神经系统淋巴瘤,瘤综合征和病.
结论:
- 这个病例代表了PML罕见的实例,发生在NHL化疗后三年.
- 痴呆症可以是PML的露脸表现,即使在治疗完成数年后.
- 这些发现强调了在免疫功能低下,神经衰退的患者中考虑晚发性PML的重要性.
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