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与爱泼斯坦-巴尔病毒感染相关的皮肤淋巴细胞增殖性疾病:临床概述

Cutaneous lymphoproliferative disorders associated with Epstein-Barr virus infection: a clinical overview.

作者信息

Iwatsuki K, Xu Z, Ohtsuka M, Kaneko F

机构信息

Department of Dermatology, Fukushima Medical University School of Medicine, Japan.

出版信息

J Dermatol Sci. 2000 Apr;22(3):181-95. doi: 10.1016/s0923-1811(99)00084-5.

Abstract

Epstein Barr virus (EBV) infection is implicated in various kinds of neoplasms including certain types of cutaneous T or natural killer (NK) cell proliferative disorders. Although a pathogenic role of EBV infection is not clear, some EBV gene products expressed during a latency phase were found to have biological properties leading to cellular gene expression and immortalization. Furthermore, EBV can use an array of strategies to evade host immune responses, and maintain the latent infection. EBV-associated cutaneous lymphoproliferative disorders are prevalent in Asia, and less frequent in western countries where infectious mononucleosis is common in adolescents and young adults. This review introduces recent advances on the mechanism of EBV infection, highlighting unique clinicopathologic manifestations of EBV-associated cutaneous lymphoproliferative disorders.

摘要

爱泼斯坦-巴尔病毒(EBV)感染与多种肿瘤有关,包括某些类型的皮肤T细胞或自然杀伤(NK)细胞增殖性疾病。尽管EBV感染的致病作用尚不清楚,但发现一些在潜伏期表达的EBV基因产物具有导致细胞基因表达和永生化的生物学特性。此外,EBV可以采用一系列策略来逃避宿主免疫反应,并维持潜伏感染。EBV相关的皮肤淋巴增殖性疾病在亚洲很常见,而在西方国家则较少见,在这些国家,传染性单核细胞增多症在青少年和年轻人中很常见。本综述介绍了EBV感染机制的最新进展,重点介绍了EBV相关皮肤淋巴增殖性疾病独特的临床病理表现。

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