Hodgkin's lymphoma, Epstein-Barr virus reactivation and fatal haemophagocytic syndrome |
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Authors: | Hasselblom S Linde A Ridell B |
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Affiliation: | Department of Medicine, Varberg Hospital, Varberg, Sweden. sverker.haselblom@medic.gu.se |
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Abstract: | Haemophagocytic syndrome is a serious disorder, often related to Epstein-Barr virus (EBV) or other infectious agents. Frequently an underlying immune abnormality or a T-cell lymphoma is present. The combination of haemophagocytosis and Hodgkin's lymphoma seems to be rare. A 70-year-old female with rheumatoid arthritis was admitted with constitutional symptoms, persistent fever, pancytopenia, deranged liver enzymes, lymphadenopathy and splenomegaly. A fatal coagulopathy supervened. The clinical picture and the bone marrow findings indicated a haemophagocytic syndrome and a lymph node biopsy disclosed an EBV-positive Hodgkin's lymphoma. EBV serology pointed at viral reactivation and a high EBV DNA content was detected in serum by real-time quantitative PCR analysis (5.5 x 10(6) copies per mL). The case history is presented and the literature is reviewed. |
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Keywords: | Hodgkin disease human herpesvirus 4 non-Langerhans-cell histiocytosis viral DNA |
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