Betourne C, Cassan P, Franc B, Bacri J L, Levy R
Nouv Presse Med. 1977 Sep 24;6(31):2753-6.
The authors report a case of acute disseminated lupus erythematosus in a 55 years old patient, receiving small doses of corticosteroids, progressing over three years. During an acute exacerbation of the disease, the development of a cervical adenopathy led to a biopsy. Histological examination revealed a lymphocytic type malignant proliferation (centro-follicular lymphoma). This case is compared with findings reported in the literature and leads to a discussion of the relationship between ADLE and malignant disorders due to a disturbance of immune control mechanisms and the possible role of immune-depressant therapy in their onset.
作者报告了一例55岁的急性播散性红斑狼疮患者,该患者接受小剂量皮质类固醇治疗,病程长达三年。在疾病急性加重期间,颈部淋巴结病的出现促使进行了活检。组织学检查显示为淋巴细胞型恶性增殖(中心滤泡性淋巴瘤)。本文将该病例与文献报道的结果进行了比较,并对急性播散性红斑狼疮与由于免疫控制机制紊乱导致的恶性疾病之间的关系以及免疫抑制治疗在其发病中的可能作用展开了讨论。