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Angioimmunoblastic T‐cell lymphoma (angioimmunoblastic lymphadenopathy with dysproteinemia [AILD]‐type T‐cell lymphoma) followed by Hodgkin's disease associated with Epstein‐Barr virus
Author(s) -
Nakamura Shigeo,
Sasajima Yuko,
Koshikawa Takashi,
Kitoh Kuniyoshi,
Koike Koichi,
Motaori Tadashi,
Ueda Ryuzo,
Mori Shigeo,
Suchi Taizan
Publication year - 1995
Publication title -
pathology international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.73
H-Index - 74
eISSN - 1440-1827
pISSN - 1320-5463
DOI - 10.1111/j.1440-1827.1995.tb03422.x
Subject(s) - lymphoma , cd15 , pathology , angioimmunoblastic t cell lymphoma , cd30 , cd20 , epstein–barr virus , virus , immunoglobulin light chain , lymph node , reed–sternberg cell , epstein–barr virus infection , medicine , immunology , virology , t cell , antibody , biology , immune system , cd34 , hodgkin lymphoma , stem cell , genetics
A patient is described with angioimmunoblastic T‐cell lymphoma (AIL] (angidmmunoblastic lymphadenopathy with dysprotelrrrpmia [AILD]‐type T‐cell lymphoma), which was later followed by Hodgkin's disease. At the time of the initial diagnasis, histological examination of a cervical lymph node showed a typical picture of AIL with abundant clear calls which were CD45RO+, CD43+, and CD20 ‐ ‐, and there was no evidence of a monoclonal B‐cell proliferation by Immunohistochemical analysis. In situ hybridization for Epstein‐Barr virus (EBV) was negative. Interposed by a bout of recurrence, the patient developed, 16 years later, a left subparotid mass which showed histologic features of Hodgkin's disease, mixed cellularity type. Diagnostic Reed‐Sternberg cells and their variants were CD30+, CD15 ‐ ‐ and CD20+. Neither rearrangement of TCR beta and gamma chain genes nor of immunoglobulin heavy chain and kappa light chain genes was detected in DNA extract from fresh material. In situ hybridization showed the presence of EBV within the Reed‐Sternberg cells. The data show that EBV was not etiologically related to AIL in this case. Further, the deficit in cellular immunity that accompanied AIL conceivably permit primary EBV infection or reactivation of latent infection, which eventuated in development of Hodgkin's disease, but the exact pathogenesis remains uncertain.