Histiocytic necrotizing lymphadenitis (Kikuchi lymphadenitis) in an HIV-positive patient
Autor(a) principal: | |
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Data de Publicação: | 2002 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista do Instituto de Medicina Tropical de São Paulo |
Texto Completo: | https://www.revistas.usp.br/rimtsp/article/view/30639 |
Resumo: | Histiocytic necrotizing lymphadenitis, or Kikuchi's lymphadenitis (KL), is an unusual form of lymphadenitis, generally with self-limited clinical course. KL has been reported in rare patients infected with the human immunodeficiency virus (HIV). Pathogenesis of the lesion is probably related to an impaired immune function. The purpose of the present article is to report on one case in which KL was diagnosed in an HIV-infected patient. Histomorphology and immunophenotype were similar to previous reports, but a focus of activated CD30+ macrophages was seen, what might be due to the immunological status of the patient. EBV was not detected on the sections using the in situ hybridization technique. Although rare, the occurrence of KL in HIV-infected subjects must be emphasized, because of the potential misdiagnosis of malignancy, especially in the presence of CD30+ cells. |
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Revista do Instituto de Medicina Tropical de São Paulo |
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Histiocytic necrotizing lymphadenitis (Kikuchi lymphadenitis) in an HIV-positive patient Linfadenite necrosante histiocítica (linfadenite de Kikuchi) em um paciente HIV-positivo Histiocytic necrotizing lymphadenitisKikuchi lymphadenitisAIDSHIV Histiocytic necrotizing lymphadenitis, or Kikuchi's lymphadenitis (KL), is an unusual form of lymphadenitis, generally with self-limited clinical course. KL has been reported in rare patients infected with the human immunodeficiency virus (HIV). Pathogenesis of the lesion is probably related to an impaired immune function. The purpose of the present article is to report on one case in which KL was diagnosed in an HIV-infected patient. Histomorphology and immunophenotype were similar to previous reports, but a focus of activated CD30+ macrophages was seen, what might be due to the immunological status of the patient. EBV was not detected on the sections using the in situ hybridization technique. Although rare, the occurrence of KL in HIV-infected subjects must be emphasized, because of the potential misdiagnosis of malignancy, especially in the presence of CD30+ cells. A linfadenite necrosante histiocítica, ou linfadenite de Kikuchi (LK), é uma forma rara de linfadenite, geralmente de curso clínico auto-limitado. Raros casos de LK associados à infecção pelo vírus da imunodeficiência humana (HIV) foram relatados, sendo sua patogênese atribuída à disfunção imunológica destes pacientes. O objetivo do presente artigo é relatar um caso de associação de LK em um paciente HIV-positivo. A histomorfologia e a imunofenotipagem foram semelhantes aos casos anteriormente descritos na literatura, mas focos de macrófagos ativados positivos para o CD30 foram vistos, o que pode ser devido ao estado imune do paciente. A pesquisa de EBV por hibridização in situ foi negativa no tecido. Embora rara, a ocorrência de LK em pacientes HIV-positivos deve ser lembrada, por causa do potencial erro diagnóstico com linfoma maligno, especialmente na presença de células CD30+. Universidade de São Paulo. Instituto de Medicina Tropical de São Paulo2002-10-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/rimtsp/article/view/30639Revista do Instituto de Medicina Tropical de São Paulo; Vol. 44 No. 5 (2002); 256-268 Revista do Instituto de Medicina Tropical de São Paulo; Vol. 44 Núm. 5 (2002); 256-268 Revista do Instituto de Medicina Tropical de São Paulo; v. 44 n. 5 (2002); 256-268 1678-99460036-4665reponame:Revista do Instituto de Medicina Tropical de São Pauloinstname:Instituto de Medicina Tropical (IMT)instacron:IMTenghttps://www.revistas.usp.br/rimtsp/article/view/30639/32523Copyright (c) 2018 Revista do Instituto de Medicina Tropical de São Pauloinfo:eu-repo/semantics/openAccessVASSALLO, JoséCOELHO FILHO, João CarlosAMARAL, Vânia Gondin Pires do2012-07-07T17:52:57Zoai:revistas.usp.br:article/30639Revistahttp://www.revistas.usp.br/rimtsp/indexPUBhttps://www.revistas.usp.br/rimtsp/oai||revimtsp@usp.br1678-99460036-4665opendoar:2022-12-13T16:51:24.833360Revista do Instituto de Medicina Tropical de São Paulo - Instituto de Medicina Tropical (IMT)true |
dc.title.none.fl_str_mv |
Histiocytic necrotizing lymphadenitis (Kikuchi lymphadenitis) in an HIV-positive patient Linfadenite necrosante histiocítica (linfadenite de Kikuchi) em um paciente HIV-positivo |
title |
Histiocytic necrotizing lymphadenitis (Kikuchi lymphadenitis) in an HIV-positive patient |
spellingShingle |
Histiocytic necrotizing lymphadenitis (Kikuchi lymphadenitis) in an HIV-positive patient VASSALLO, José Histiocytic necrotizing lymphadenitis Kikuchi lymphadenitis AIDS HIV |
title_short |
Histiocytic necrotizing lymphadenitis (Kikuchi lymphadenitis) in an HIV-positive patient |
title_full |
Histiocytic necrotizing lymphadenitis (Kikuchi lymphadenitis) in an HIV-positive patient |
title_fullStr |
Histiocytic necrotizing lymphadenitis (Kikuchi lymphadenitis) in an HIV-positive patient |
title_full_unstemmed |
Histiocytic necrotizing lymphadenitis (Kikuchi lymphadenitis) in an HIV-positive patient |
title_sort |
Histiocytic necrotizing lymphadenitis (Kikuchi lymphadenitis) in an HIV-positive patient |
author |
VASSALLO, José |
author_facet |
VASSALLO, José COELHO FILHO, João Carlos AMARAL, Vânia Gondin Pires do |
author_role |
author |
author2 |
COELHO FILHO, João Carlos AMARAL, Vânia Gondin Pires do |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
VASSALLO, José COELHO FILHO, João Carlos AMARAL, Vânia Gondin Pires do |
dc.subject.por.fl_str_mv |
Histiocytic necrotizing lymphadenitis Kikuchi lymphadenitis AIDS HIV |
topic |
Histiocytic necrotizing lymphadenitis Kikuchi lymphadenitis AIDS HIV |
description |
Histiocytic necrotizing lymphadenitis, or Kikuchi's lymphadenitis (KL), is an unusual form of lymphadenitis, generally with self-limited clinical course. KL has been reported in rare patients infected with the human immunodeficiency virus (HIV). Pathogenesis of the lesion is probably related to an impaired immune function. The purpose of the present article is to report on one case in which KL was diagnosed in an HIV-infected patient. Histomorphology and immunophenotype were similar to previous reports, but a focus of activated CD30+ macrophages was seen, what might be due to the immunological status of the patient. EBV was not detected on the sections using the in situ hybridization technique. Although rare, the occurrence of KL in HIV-infected subjects must be emphasized, because of the potential misdiagnosis of malignancy, especially in the presence of CD30+ cells. |
publishDate |
2002 |
dc.date.none.fl_str_mv |
2002-10-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/rimtsp/article/view/30639 |
url |
https://www.revistas.usp.br/rimtsp/article/view/30639 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/rimtsp/article/view/30639/32523 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2018 Revista do Instituto de Medicina Tropical de São Paulo info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2018 Revista do Instituto de Medicina Tropical de São Paulo |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Instituto de Medicina Tropical de São Paulo |
publisher.none.fl_str_mv |
Universidade de São Paulo. Instituto de Medicina Tropical de São Paulo |
dc.source.none.fl_str_mv |
Revista do Instituto de Medicina Tropical de São Paulo; Vol. 44 No. 5 (2002); 256-268 Revista do Instituto de Medicina Tropical de São Paulo; Vol. 44 Núm. 5 (2002); 256-268 Revista do Instituto de Medicina Tropical de São Paulo; v. 44 n. 5 (2002); 256-268 1678-9946 0036-4665 reponame:Revista do Instituto de Medicina Tropical de São Paulo instname:Instituto de Medicina Tropical (IMT) instacron:IMT |
instname_str |
Instituto de Medicina Tropical (IMT) |
instacron_str |
IMT |
institution |
IMT |
reponame_str |
Revista do Instituto de Medicina Tropical de São Paulo |
collection |
Revista do Instituto de Medicina Tropical de São Paulo |
repository.name.fl_str_mv |
Revista do Instituto de Medicina Tropical de São Paulo - Instituto de Medicina Tropical (IMT) |
repository.mail.fl_str_mv |
||revimtsp@usp.br |
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1798951643856764928 |