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HIV 和 SARS-CoV-2 感染患者中罕见的浆母细胞淋巴瘤病例。

A Rare Case of Plasmablastic Lymphoma in a Patient with HIV and SARS-CoV-2 Infections.

机构信息

Doctoral School, "Ovidius" University of Constanta, 900470 Constanta, Romania.

Faculty of Medicine, "Ovidius" University of Constanta, 900470 Constanta, Romania.

出版信息

Curr Oncol. 2022 Mar 2;29(3):1537-1543. doi: 10.3390/curroncol29030129.

Abstract

Lesions commonly associated with HIV infection include oral candidiasis, herpes simplex infection, oral Kaposi's sarcoma, hairy leukoplakia, periodontal diseases (linear gingival erythema and necrotizing ulcerative periodontitis), xerostomia, human papillomavirus-associated warts, aphthous ulcers, non-Hodgkin's lymphoma, histoplasmosis, carcinoma, exfoliative cheilitis, and HIV salivary gland disease. Non-Hodgkin's lymphoma (NHL) is the most common cancer in people living with HIV (PLWH), and the incidence is increased for aggressive B-cell NHL. Plasmablastic lymphoma (PbL) is a rare and aggressive B-cell malignancy that is often unresponsive to chemotherapy and usually has a poor prognosis. We hereby present the case of a patient with a recent history of COVID-19 infection who was diagnosed with HIV and NHL, with manifestations in the oral cavity and a favorable evolution after the introduction of antiviral therapy, specific chemotherapy, and radiotherapy. Dental expertise is necessary for the appropriate management of oral manifestations of HIV infection or AIDS, and lymphoma should be included in the differential diagnosis of any oral lesions.

摘要

与 HIV 感染相关的病变包括口腔念珠菌病、单纯疱疹感染、口腔卡波西肉瘤、毛状白斑、牙周病(线性牙龈红斑和坏死性溃疡性牙周炎)、口干症、人乳头瘤病毒相关疣、口疮性溃疡、非霍奇金淋巴瘤、组织胞浆菌病、癌、剥脱性唇炎和 HIV 唾液腺疾病。非霍奇金淋巴瘤(NHL)是 HIV 感染者(PLWH)中最常见的癌症,侵袭性 B 细胞 NHL 的发病率增加。浆母细胞淋巴瘤(PbL)是一种罕见且侵袭性的 B 细胞恶性肿瘤,对化疗通常反应不佳,且通常预后不良。我们在此介绍了一例近期 COVID-19 感染史的患者,该患者被诊断为 HIV 和 NHL,口腔有临床表现,在引入抗病毒治疗、特定化疗和放疗后病情好转。牙科专业知识对于 HIV 感染或艾滋病的口腔表现的适当管理是必要的,淋巴瘤应包括在任何口腔病变的鉴别诊断中。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4dac/8947703/3914f4a5a8df/curroncol-29-00129-g001.jpg

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