Geisinger Medical Center, Danville, Pennsylvania.
Ackerman Academy of Dermatopathology, New York, New York.
J Am Acad Dermatol. 2015 Jan;72(1):21-34; quiz 35-6. doi: 10.1016/j.jaad.2014.07.035.
Epstein-Barr virus (EBV) was the first human virus to be associated with oncogenesis. Over the past few decades, cumulative research has revealed that latent EBV infection may be implicated in the pathogenesis of a heterogeneous group of lymphoproliferative disorders and malignancies occurring in both immunocompetent and immunocompromised hosts. Many of these diseases have either primary or secondary cutaneous manifestations. Serologic studies and EBV-encoded RNA in situ hybridization stains have been used to show the association of EBV with disease; while these findings may imply a role, they do not equate with causation. In part II of this continuing medical education review, the salient features of EBV-associated lymphoproliferative disorders and solid tumors are detailed.
EB 病毒(EBV)是第一个被证实与肿瘤发生有关的人类病毒。在过去的几十年里,大量的研究揭示了潜伏性 EBV 感染可能与免疫功能正常和免疫功能低下宿主中发生的多种淋巴增殖性疾病和恶性肿瘤的发病机制有关。这些疾病中有许多具有原发性或继发性皮肤表现。血清学研究和 EBV 编码 RNA 原位杂交染色已被用于显示 EBV 与疾病的关联;虽然这些发现可能暗示了一种作用,但它们并不等同于因果关系。在本次继续医学教育综述的第二部分中,详细描述了 EBV 相关的淋巴增殖性疾病和实体肿瘤的显著特征。