Lang J M
Centre d'information et de soins de l'immunodéficience humaine, clinique médicale A, Hospices civils de Strasbourg.
Rev Prat. 1992 Jan 15;42(2):160-5.
Infection by human immunodeficiency viruses (HIV) is associated with an increased incidence of non-Hodgkin's lymphomas (NHL) of B cell origin and of intermediate grade (diffuse large cell lymphomas according to the Working Formulation) or high grade (Kiel classification and Working Formulation). They may be either primary central nervous system lymphomas or systemic lymphomas and are considered as AIDS-defining events. Systemic lymphomas are usually disseminated with a high frequency of extranodal sites. Their overall prognosis is much worse than for NHL in the general population. Pathogenesis is still a matter of debate. An increased incidence of Hodgkin's diseases (HD) in HIV infection is being suspected but has not been proved yet. However, HIV-associated HD differ from usual HD by clinical presentation, histological type repartition, and evolution. Finally, low grade lymphomas have been described in HIV infection, the only peculiarity being the unusual age of occurrence.
人类免疫缺陷病毒(HIV)感染与B细胞起源的中间级(根据工作分类为弥漫性大细胞淋巴瘤)或高级别(基尔分类和工作分类)非霍奇金淋巴瘤(NHL)的发病率增加有关。它们可能是原发性中枢神经系统淋巴瘤或系统性淋巴瘤,被视为艾滋病定义事件。系统性淋巴瘤通常会广泛播散,结外部位受累频率较高。其总体预后比普通人群中的NHL差得多。发病机制仍存在争议。有人怀疑HIV感染中霍奇金病(HD)的发病率增加,但尚未得到证实。然而,与HIV相关的HD在临床表现、组织学类型分布和病程方面与普通HD不同。最后,HIV感染中也描述了低级别淋巴瘤,其唯一特点是发病年龄不寻常。