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Lymphomas occurring specifically in HIV-infected patients: from pathogenesis to pathology.
[primary effusion lymphoma]
Lymphomas
that
develop
in
HIV
positive
patients
are
predominantly
aggressive
B-
cell
malignancies
.
The
most
common
HIV-associated
lymphomas
are
Burkitt
lymphoma
(
BL
)
and
diffuse
large
B-
cell
lymphoma
(
DLBCL
)
.
Lymphomas
that
occur
specifically
in
HIV
positive
patients
include
primary
effusion
lymphoma
(
PEL
)
and
its
solid
variants
,
plasmablastic
lymphoma
of
the
oral
cavity
type
and
lymphoma
associated
with
Kaposi
sarcoma
herpesvirus
(
KSHV
)
-
related
multicentric
Castleman
disease
.
These
lymphomas
,
together
with
BL
and
immunoblastic
lymphoma
subtypes
with
plasmacytoid
differentiation
,
carry
Epstein-
Barr
virus
(
EBV
)
infection
and
display
a
phenotype
related
to
plasma
cells
.
Globally
,
EBV
is
identified
in
the
neoplastic
cells
of
approximately
40
%
of
HIV-associated
lymphomas
,
but
the
detection
of
EBV
varies
considerably
with
the
site
of
presentation
and
the
histological
subtype
.
EBV
infection
occurs
in
80
-
100
%
of
primary
central
nervous
system
lymphomas
and
PELs
,
80
%
of
DLBCLs
with
immunoblastic-plasmacytoid
features
,
and
30
-
50
%
of
BL-plasmacytoid
.
KSHV
is
specifically
associated
with
PEL
,
which
usually
occurs
in
a
setting
of
profound
immunosuppression
.
Current
knowledge
about
HIV-associated
lymphomas
can
be
summarized
as
follows
:
(
1
)
lymphomas
specifically
occurring
in
patients
with
HIV
infection
are
closely
linked
to
other
viral
diseases
;
(
2
)
most
of
these
lymphomas
exhibit
plasmablastic
differentiation
.
Diseases
Validation
Diseases presenting
"burkitt lymphoma"
symptom
hodgkin lymphoma, classical
primary effusion lymphoma
waldenström macroglobulinemia
This symptom has already been validated