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Risk of non-Hodgkin lymphoma subtypes in HIV-infected people during the HAART era: a population-based study.
[waldenström macroglobulinemia]
HIV-infected
people
have
greatly
elevated
risk
of
non-
Hodgkin
lymphoma
(
NHL
)
,
particularly
the
AIDS-defining
NHL
subtypes
:
diffuse
large
B-
cell
lymphoma
,
Burkitt
lymphoma
and
primary
lymphomas
arising
in
the
central
nervous
system
.
The
goals
of
this
analysis
were
to
comprehensively
describe
risks
of
NHL
subtypes
,
especially
those
not
well
studied
,
among
HIV
/
AIDS
patients
;
examine
risks
specifically
in
the
HAART
era
;
and
distinguish
risks
in
HIV-infected
individuals
prior
to
diagnosis
with
AIDS
.
Population-based
registry
linkage
study
.
We
used
data
from
the
US
HIV
/
AIDS
Cancer
Match
Study
from
1996
to
2010
(
N
 
=
 
273
 
705
)
to
calculate
standardized
incidence
ratios
(
SIRs
)
comparing
subtype-
specific
NHL
risks
in
HIV-infected
people
to
those
in
the
general
population
,
and
used
Poisson
regression
to
test
for
differences
in
SIRs
between
the
HIV-only
and
AIDS
periods
.
NHL
risk
was
elevated
11
-
fold
compared
to
the
general
population
,
but
varied
substantially
by
subtype
.
AIDS-defining
NHL
subtypes
comprised
the
majority
,
and
risks
were
high
(
SIRs
≥
17
)
,
but
risks
were
also
increased
for
some
T
-
cell
lymphomas
(
SIRs
 
=
 
3
.
6
-
14
.
2
)
,
marginal
zone
lymphoma
(
SIR
 
=
 
2
.
4
)
,
lymphoplasmacytic
lymphoma
/
Waldenström
macroglobulinemia
(
SIR
 
=
 
3
.
6
)
,
and
acute
lymphoblastic
leukemia
/
lymphoma
(
SIR
 
=
 
2
.
4
)
.
HIV-infected
people
in
the
HAART
era
continue
to
have
elevated
risk
of
AIDS-defining
NHL
subtypes
,
highlighting
the
contribution
of
moderate
and
severe
immunosuppression
to
their
cause
.
Whereas
non-
AIDS-defining
subtypes
are
much
less
common
,
immunosuppression
or
other
dysregulated
immune
states
likely
play
a
role
in
the
cause
of
some
T
-
cell
lymphomas
,
marginal
zone
lymphoma
,
lymphoplasmacytic
lymphoma
/
Waldenström
macroglobulinemia
,
and
acute
lymphoblastic
leukemia
/
lymphoma
.
Diseases
Validation
Diseases presenting
"cancer"
symptom
achondroplasia
acute rheumatic fever
adrenal incidentaloma
alpha-thalassemia
benign recurrent intrahepatic cholestasis
cadasil
canavan disease
carcinoma of the gallbladder
cholangiocarcinoma
coats disease
congenital adrenal hyperplasia
congenital diaphragmatic hernia
cowden syndrome
cushing syndrome
cutaneous mastocytosis
dedifferentiated liposarcoma
dystrophic epidermolysis bullosa
epidermolysis bullosa simplex
erdheim-chester disease
erythropoietic protoporphyria
esophageal adenocarcinoma
esophageal carcinoma
esophageal squamous cell carcinoma
familial hypocalciuric hypercalcemia
familial mediterranean fever
gm1 gangliosidosis
heparin-induced thrombocytopenia
hereditary cerebral hemorrhage with amyloidosis
hirschsprung disease
hodgkin lymphoma, classical
inclusion body myositis
junctional epidermolysis bullosa
kabuki syndrome
kallmann syndrome
kindler syndrome
lamellar ichthyosis
liposarcoma
locked-in syndrome
lymphangioleiomyomatosis
monosomy 21
neuralgic amyotrophy
oculocutaneous albinism
oligodontia
oral submucous fibrosis
papillon-lefèvre syndrome
pendred syndrome
pleomorphic liposarcoma
primary effusion lymphoma
proteus syndrome
pyomyositis
pyruvate dehydrogenase deficiency
severe combined immunodeficiency
sneddon syndrome
systemic capillary leak syndrome
triple a syndrome
von hippel-lindau disease
waldenström macroglobulinemia
well-differentiated liposarcoma
werner syndrome
wiskott-aldrich syndrome
wolf-hirschhorn syndrome
x-linked adrenoleukodystrophy
This symptom has already been validated