Human herpesvirus 8-related primary effusion lymphoma in four HIV-uninfected patients without organ transplantation

Hung I. Kuo, Yu Ting Yu, Kung Chao Chang, Po Lan Su, Sin Syue Li, Tang Hsiu Huang

研究成果: Article

摘要

Primary effusion lymphoma (PEL) is a rare subtype of non-Hodgkin's lymphoma. PEL is closely related in pathogenesis to human herpesvirus 8 (HHV-8) and typically occurs in patients with significant immunodeficiency. Cases of PEL in patients without either HIV infection or transplantation have been reported from HHV-8-endemic areas, but very rarely from the Asia-Pacific region. In this case series, we describe the clinical and immunohistochemical presentations of four patients in southern Taiwan who were diagnosed with HHV-8-related PEL. All four patients were HIV-negative and had not received organ transplantation. To our knowledge, this is the first authentic report of HIV-unrelated PEL from the ethnically Chinese population. Considering the non-specific clinical manifestations, the pivotal roles of specific assays for correct diagnosis, and the dismal prognosis of PEL, it is important for clinicians to include PEL as one of the differential diagnosis when approaching HIV-uninfected patients with unexplained exudative body cavity effusion.

原文English
文章編號e00508
期刊Respirology Case Reports
8
發行號1
DOIs
出版狀態Published - 2020 一月 1

指紋

Primary Effusion Lymphoma
Human Herpesvirus 8
Organ Transplantation
HIV
Taiwan
Non-Hodgkin's Lymphoma
HIV Infections
Differential Diagnosis
Transplantation

All Science Journal Classification (ASJC) codes

  • Pulmonary and Respiratory Medicine

引用此文

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abstract = "Primary effusion lymphoma (PEL) is a rare subtype of non-Hodgkin's lymphoma. PEL is closely related in pathogenesis to human herpesvirus 8 (HHV-8) and typically occurs in patients with significant immunodeficiency. Cases of PEL in patients without either HIV infection or transplantation have been reported from HHV-8-endemic areas, but very rarely from the Asia-Pacific region. In this case series, we describe the clinical and immunohistochemical presentations of four patients in southern Taiwan who were diagnosed with HHV-8-related PEL. All four patients were HIV-negative and had not received organ transplantation. To our knowledge, this is the first authentic report of HIV-unrelated PEL from the ethnically Chinese population. Considering the non-specific clinical manifestations, the pivotal roles of specific assays for correct diagnosis, and the dismal prognosis of PEL, it is important for clinicians to include PEL as one of the differential diagnosis when approaching HIV-uninfected patients with unexplained exudative body cavity effusion.",
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Human herpesvirus 8-related primary effusion lymphoma in four HIV-uninfected patients without organ transplantation. / Kuo, Hung I.; Yu, Yu Ting; Chang, Kung Chao; Su, Po Lan; Li, Sin Syue; Huang, Tang Hsiu.

於: Respirology Case Reports, 卷 8, 編號 1, e00508, 01.01.2020.

研究成果: Article

TY - JOUR

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AU - Yu, Yu Ting

AU - Chang, Kung Chao

AU - Su, Po Lan

AU - Li, Sin Syue

AU - Huang, Tang Hsiu

PY - 2020/1/1

Y1 - 2020/1/1

N2 - Primary effusion lymphoma (PEL) is a rare subtype of non-Hodgkin's lymphoma. PEL is closely related in pathogenesis to human herpesvirus 8 (HHV-8) and typically occurs in patients with significant immunodeficiency. Cases of PEL in patients without either HIV infection or transplantation have been reported from HHV-8-endemic areas, but very rarely from the Asia-Pacific region. In this case series, we describe the clinical and immunohistochemical presentations of four patients in southern Taiwan who were diagnosed with HHV-8-related PEL. All four patients were HIV-negative and had not received organ transplantation. To our knowledge, this is the first authentic report of HIV-unrelated PEL from the ethnically Chinese population. Considering the non-specific clinical manifestations, the pivotal roles of specific assays for correct diagnosis, and the dismal prognosis of PEL, it is important for clinicians to include PEL as one of the differential diagnosis when approaching HIV-uninfected patients with unexplained exudative body cavity effusion.

AB - Primary effusion lymphoma (PEL) is a rare subtype of non-Hodgkin's lymphoma. PEL is closely related in pathogenesis to human herpesvirus 8 (HHV-8) and typically occurs in patients with significant immunodeficiency. Cases of PEL in patients without either HIV infection or transplantation have been reported from HHV-8-endemic areas, but very rarely from the Asia-Pacific region. In this case series, we describe the clinical and immunohistochemical presentations of four patients in southern Taiwan who were diagnosed with HHV-8-related PEL. All four patients were HIV-negative and had not received organ transplantation. To our knowledge, this is the first authentic report of HIV-unrelated PEL from the ethnically Chinese population. Considering the non-specific clinical manifestations, the pivotal roles of specific assays for correct diagnosis, and the dismal prognosis of PEL, it is important for clinicians to include PEL as one of the differential diagnosis when approaching HIV-uninfected patients with unexplained exudative body cavity effusion.

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