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儿童患者的 EBV 阳性黏膜皮肤溃疡——病例报告

Epstein-Barr Virus-Positive Mucocutaneous Ulcer in a Pediatric Patient-Case Report.

机构信息

Dermatopathology Department, Centro de Diagnósticos Anátomo-Patológicos-CEDAP, Joinville, Brazil.

Post-Graduate Program in Health and Environment Department, Universidade da Região de Joinville-UNIVILLE, Joinville, Brazil.

出版信息

Am J Dermatopathol. 2020 Apr;42(4):e49-e52. doi: 10.1097/DAD.0000000000001568.

Abstract

The Epstein-Barr virus (EBV)-positive mucocutaneous ulcer is a rare entity in the spectrum of lymphoproliferative diseases associated with the EBV. It occurs typically in patients with immunosuppression associated with immunosenescence, as well as due to iatrogenic causes, posttransplant patients and primary immunodeficiency disorders. It is often a benign and self-limited disease that recedes by stopping or reducing the immunosuppressive agents in most of the cases. Histologically, it is characterized by a population of EBV-positive atypical lymphoid cells. Here, we present a rare case of a 5-month-old pediatric patient, born preterm at 24 weeks of gestational age, presenting a lump on the right shoulder, later evolving to EBV-positive mucocutaneous ulcer.

摘要

EB 病毒(EBV)阳性黏膜溃疡是与 EBV 相关的淋巴增殖性疾病谱中的一种罕见实体。它通常发生在与免疫衰老相关的免疫抑制患者中,也可由医源性原因、移植后患者和原发性免疫缺陷疾病引起。在大多数情况下,通过停止或减少免疫抑制剂,它通常是一种良性和自限性疾病。组织学上,它的特征是一群 EBV 阳性的非典型淋巴样细胞。在此,我们报告一例罕见的 5 月龄儿科患者,胎龄 24 周早产,右肩部出现肿块,随后发展为 EBV 阳性黏膜溃疡。

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