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[干燥综合征与非霍奇金淋巴瘤:从病理生理学到治疗]

[Sjögren's syndrome and non-Hodgkin's lymphoma: from pathophysiology to treatment].

作者信息

Le Guern Véronique, Mouthon Luc

机构信息

Assistance Publique-Hôpitaux de Paris, université Paris-Descartes, hôpital Cochin, pôle de médecine interne, Paris, France.

出版信息

Presse Med. 2011 Dec;40(12 Pt 1):1113-9. doi: 10.1016/j.lpm.2011.08.004. Epub 2011 Oct 2.

Abstract

Although infrequent, the development of non-Hodgkin's lymphoma (NHL) during the course of Sjögren's syndrome represents a major complication. Nethertheless, most NHL developing in patients with Sjögren's syndrome are B cell lymphomas involving the marginal zone, localized to extranodal sites. Predictive factors include lymphadenopathy, splenomegaly, neutropenia, cryoglobulinemia and low C4 levels. The treatment of B cell lymphomas depends on its nature and localization. Biotherapies targeting the B lymphocyte, such as rituximab, a chimeric monoclonal anti-CD20 antibody, or more recently targeting BAFF can be proposed.

摘要

虽然不常见,但干燥综合征病程中发生非霍奇金淋巴瘤(NHL)是一种主要并发症。然而,大多数在干燥综合征患者中发生的NHL是累及边缘区、局限于结外部位的B细胞淋巴瘤。预测因素包括淋巴结病、脾肿大、中性粒细胞减少、冷球蛋白血症和低C4水平。B细胞淋巴瘤的治疗取决于其性质和部位。可以采用针对B淋巴细胞的生物疗法,如利妥昔单抗(一种嵌合单克隆抗CD20抗体),或最近针对BAFF的疗法。

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