Human
8–Associated Intravascular Lymphomatosis Within an AIDS Patient
Human herpesvirus 8 (HHV-8) causes Kaposi sarcoma
(KS) and is associated with B-cell malignancies. Intravascular large B-cell
lymphoma is an uncommon B-cell lymphoma characterized by proliferation of
neoplastic B cells within the lumina of blood vessels. Although the underlying
cause of this lymphoma is unclear, a previous report has identified a single
case of HHV-8–associated intravascular lymphomatosis (IVL). We analyzed 5 cases
of IVL for the presence of HHV-8, finding the second case of HHV-8–associated
IVL. Human herpesvirus 8 protein expression (latency-associated nuclear antigen
1 [LANA-1]), Epstein-Barr virus–encoded RNAs (EBERs), and the cellular markers
CD20 and CD45 were determined by immunohistochemistry. Intravascular lymphoma
cells from a subject with human immunodeficiency virus (HIV) were positive for
HHV-8 LANA-1, EBV EBER, and CD20 and CD45 expression. The 4 non-HIV–infected
IVL cases were negative for HHV-8 LANA-1 and EBER expression. Future studies
are required to determine whether the association between HHV-8 and HIV with
IVL is true.
Sumber : http://insights.sagepub.com/
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