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成人T细胞白血病病毒I型相关淋巴瘤在非流行地区表现为蕈样肉芽肿:一项病毒分子研究

HTLV-I-associated lymphoma presenting as mycosis fungoides in an HTLV-I non-endemic area: a viro-molecular study.

作者信息

D'Incan M, Antoniotti O, Gasmi M, Fonck Y, Chassagne J, Desgranges C, Souteyrand P

机构信息

Laboratory of Research on Hepatitis, AIDS and Human Retroviruses, INSERM U 271, Lyon, France.

出版信息

Br J Dermatol. 1995 Jun;132(6):983-8. doi: 10.1111/j.1365-2133.1995.tb16960.x.

DOI:10.1111/j.1365-2133.1995.tb16960.x
PMID:7662579
Abstract

Human T-lymphotropic virus type I (HTLV-I) is endemic in the Caribbean region, south-western Japan and Africa, and is associated with tropical spastic paraparesis and adult T-cell leukaemia/lymphoma (ATLL). Cutaneous forms of ATLL are sometimes indistinguishable from other cutaneous T-cell lymphomas (CTCL). We report a woman living in a non-endemic area for HTLV-I, with no risk factors for viral infection, who developed mycosis fungoides-like ATLL. The findings underline the usefulness of molecular biological techniques in distinguishing between mycosis fungoides and ATLL. We emphasize the need to establish the HTLV-I status of patients with CTCL, even in HTLV-I non-endemic areas, not only to establish a preventive policy in these countries, but also to further our knowledge of the lymphoproliferation spectrum associated with human retroviruses.

摘要

人类嗜T淋巴细胞病毒I型(HTLV-I)在加勒比地区、日本西南部和非洲呈地方性流行,并与热带痉挛性截瘫及成人T细胞白血病/淋巴瘤(ATLL)相关。ATLL的皮肤型有时与其他皮肤T细胞淋巴瘤(CTCL)难以区分。我们报告了一名居住在HTLV-I非流行地区、无病毒感染风险因素的女性,她患上了蕈样肉芽肿样ATLL。这些发现强调了分子生物学技术在区分蕈样肉芽肿和ATLL方面的实用性。我们强调,即使在HTLV-I非流行地区,也有必要确定CTCL患者的HTLV-I状态,这不仅是为了在这些国家制定预防政策,也是为了增进我们对与人类逆转录病毒相关的淋巴增殖谱的了解。

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