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当面具滑落时:一名患有May-Hegglin综合征的患者中,一例伪装成狼疮并伴有骨髓纤维化的外周T细胞淋巴瘤。

When the mask slips: A peripheral T-cell lymphoma disguised as lupus with myelofibrosis in a patient with May-Hegglin syndrome.

作者信息

Da Silva Constante V, Couvert H, Wolfromm A, Ilzkovitz M

机构信息

Hematology Department, Institut Jules Bordet - Hôpital Universitaire de Bruxelles (H.U.B.), Université Libre de Bruxelles (ULB), Brussels, Belgium.

Internal Medicine Department, Institut Jules Bordet - Hôpital Universitaire de Bruxelles (H.U.B.), Université Libre de Bruxelles (ULB), Brussels, Belgium.

出版信息

Leuk Res Rep. 2024 Dec 20;23:100498. doi: 10.1016/j.lrr.2024.100498. eCollection 2025.

DOI:10.1016/j.lrr.2024.100498
PMID:39807111
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11728067/
Abstract

We describe the case of a female patient with May-Hegglin syndrome who developed peripheral T-cell lymphoma not otherwise specified. The patient presents with systemic lupus erythematous phenotype and myelofibrosis secondary to T-cell lymphoma. Peripheral T-cell lymphoma not otherwise specified, represents 25 % of all peripheral T-cell lymphoma. Its diagnosis remains challenging due to the polymorphous clinical presentation and pathological heterogeneity. Myelofibrosis associated with malignant lymphomas is rare and peripheral T-cell lymphoma is even rarer. To our knowledge, this is the first case to describe an association between May-Hegglin syndrome and a peripheral T-cell lymphoma.

摘要

我们描述了一例患有May-Hegglin综合征的女性患者,该患者发生了非特指外周T细胞淋巴瘤。该患者表现出系统性红斑狼疮表型以及继发于T细胞淋巴瘤的骨髓纤维化。非特指外周T细胞淋巴瘤占所有外周T细胞淋巴瘤的25%。由于其临床表现多样和病理异质性,其诊断仍然具有挑战性。与恶性淋巴瘤相关的骨髓纤维化很罕见,外周T细胞淋巴瘤则更为罕见。据我们所知,这是第一例描述May-Hegglin综合征与外周T细胞淋巴瘤之间关联的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/077c/11728067/14d3a46dcc9d/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/077c/11728067/f724fd234fac/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/077c/11728067/38a55712a0a3/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/077c/11728067/14d3a46dcc9d/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/077c/11728067/f724fd234fac/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/077c/11728067/38a55712a0a3/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/077c/11728067/14d3a46dcc9d/gr3.jpg

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本文引用的文献

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Cureus. 2024 Mar 13;16(3):e56120. doi: 10.7759/cureus.56120. eCollection 2024 Mar.
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Angioimmunoblastic T-cell Lymphoma Mimicking Systemic Lupus Erythematosus: A Case Report and Literature Review.血管免疫母细胞性 T 细胞淋巴瘤酷似系统性红斑狼疮:病例报告及文献复习。
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Angioimmunoblastic T-cell lymphoma and correlated neoplasms with T-cell follicular helper phenotype: from molecular mechanisms to therapeutic advances.
血管免疫母细胞性T细胞淋巴瘤及具有T细胞滤泡辅助表型的相关肿瘤:从分子机制到治疗进展
Front Oncol. 2023 Apr 26;13:1177590. doi: 10.3389/fonc.2023.1177590. eCollection 2023.
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Association Between Systemic Lupus Erythematosus and Cancer Morbidity and Mortality: Findings From Cohort Studies.系统性红斑狼疮与癌症发病率和死亡率之间的关联:队列研究结果
Front Oncol. 2022 May 4;12:860794. doi: 10.3389/fonc.2022.860794. eCollection 2022.
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A Practical Perspective of the Hematologic Manifestations of Systemic Lupus Erythematosus.系统性红斑狼疮血液学表现的实践视角
Cureus. 2022 Mar 7;14(3):e22938. doi: 10.7759/cureus.22938. eCollection 2022 Mar.
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