ダウンロード数: 216
このアイテムのファイル:
ファイル | 記述 | サイズ | フォーマット | |
---|---|---|---|---|
internalmedicine.1246-18.pdf | 2.29 MB | Adobe PDF | 見る/開く |
タイトル: | Recurrent Epstein-Barr Virus-positive (EBV+) Primary Central Nervous System Lymphoma (PCNSL) in a Patient with Clinical Features of Chronic Lymphocytic Inflammation with Pontine Perivascular Enhancement Responsive to Steroids (CLIPPERS) |
著者: | Nagano, Masahiro Ayaki, Takashi Koita, Natsuko Kitano, Toshiyuki Nishikori, Momoko https://orcid.org/0000-0003-4171-2162 (unconfirmed) Goda, Naoki Minamiguchi, Sachiko https://orcid.org/0000-0002-5800-6769 (unconfirmed) Ikeda, Akio https://orcid.org/0000-0002-0790-2598 (unconfirmed) Takaori-Kondo, Akifumi Takahashi, Ryosuke https://orcid.org/0000-0002-1407-9640 (unconfirmed) |
著者名の別形: | 綾木, 孝 北野, 俊行 錦織, 桃子 合田, 直樹 南口, 早智子 池田, 昭夫 髙折, 晃史 高橋, 良輔 |
キーワード: | primary central nervous system lymphoma (PCNSL) chronic lymphocytic inflammation with pontine perivascular enhancement responsive to steroids (CLIPPERS) recurrence repeat brain biopsy, Epstein-Barr virus (EBV) |
発行日: | 15-Mar-2019 |
出版者: | Japanese Society of Internal Medicine |
誌名: | Internal Medicine |
巻: | 58 |
号: | 6 |
開始ページ: | 849 |
終了ページ: | 854 |
抄録: | Primary central nervous system lymphoma (PCNSL) and chronic lymphocytic inflammation with pontine perivascular enhancement responsive to steroids (CLIPPERS) can share clinical features and may be indistinguishable, even after brain biopsy. We encountered a case of Epstein-Barr virus-positive (EBV+) PCNSL recurrence in a patient with clinical features of CLIPPERS, and repeat brain biopsy was required to reach the correct diagnosis. Four years after the initial diagnosis and treatment of PCNSL, "peppering" punctate enhanced lesions with transient steroid responsiveness were detected during brain magnetic resonance imaging (MRI). A second brain biopsy supported a diagnosis of CLIPPERS, while a third biopsy confirmed the diagnosis of recurrent PCNSL. |
著作権等: | The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/ by-nc-nd/4.0/). |
URI: | http://hdl.handle.net/2433/240900 |
DOI(出版社版): | 10.2169/internalmedicine.1246-18 |
PubMed ID: | 30880301 |
出現コレクション: | 学術雑誌掲載論文等 |
このリポジトリに保管されているアイテムはすべて著作権により保護されています。