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Published in: International Journal of Colorectal Disease 11/2019

Open Access 01-11-2019 | Chronic Inflammatory Bowel Disease | Case Report

EBV-associated lymphoproliferative disorder involving the gastrointestinal tract which mimic IBD in immunocompetent patients: case reports and literature review

Authors: Yanhua Zhou, Yanlin Zhang, Haiying Zhao, Xuan Cui, Yongqiu Wei, Yongdong Wu, Shutian Zhang, Ye Zong

Published in: International Journal of Colorectal Disease | Issue 11/2019

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Abstract

Introduction

Epstein-Barr virus (EBV)–associated lymphoproliferative diseases (LPD) with digestive tract involvement in immunocompetent patients is rather rare. Since the symptoms of EBV-associated LPD involving the gastrointestinal tract in immunocompetent patients are similar to those of inflammatory bowel disease (IBD), most patients are initially misdiagnosed.

Case presentation

In this paper, we present two cases of EBV-associated T cell LPD involving the colon in immunocompetent patients and review the relevant literature.

Conclusion

EBV serological testing may help in detecting this disease, and our findings suggest that histopathological evidence of EBV, such as the Epstein-Barr encoding region, is very important to establish the diagnosis.
Literature
2.
go back to reference Swerdlow SH, Campo E, Harris NL, Jaff ES, Pileri S, Stein H, Thele J, Vardiman JW (2016) WHO classifcation of tumours of haematopoietic and lymphoid tissues. IARC, Lyon Swerdlow SH, Campo E, Harris NL, Jaff ES, Pileri S, Stein H, Thele J, Vardiman JW (2016) WHO classifcation of tumours of haematopoietic and lymphoid tissues. IARC, Lyon
4.
7.
go back to reference Yang X, Nishida N, Zhao X, Kanegane H (2015) Advances in understanding the pathogenesis of Epstein-Barr virus-associated lymphoproliferative disorders. Iran J Allergy Asthma Immunol 14:462–471PubMed Yang X, Nishida N, Zhao X, Kanegane H (2015) Advances in understanding the pathogenesis of Epstein-Barr virus-associated lymphoproliferative disorders. Iran J Allergy Asthma Immunol 14:462–471PubMed
8.
go back to reference Wang RC, Chang ST, Hsieh YC, Huang WT, Hsu JD, Tseng CE, Wang MC, Hwang WS, Wang J, Chuang SS (2014) Spectrum of Epstein-Barr virus-associated T-cell lymphoproliferative disorder in adolescents and young adults in Taiwan. Int J Clin Exp Pathol 7:2430–2437PubMedPubMedCentral Wang RC, Chang ST, Hsieh YC, Huang WT, Hsu JD, Tseng CE, Wang MC, Hwang WS, Wang J, Chuang SS (2014) Spectrum of Epstein-Barr virus-associated T-cell lymphoproliferative disorder in adolescents and young adults in Taiwan. Int J Clin Exp Pathol 7:2430–2437PubMedPubMedCentral
15.
go back to reference Sazuka S, Takahashi Y, Kawaguchi T, Sato T, Nakagawa T, Furuya Y, Saito M, Saito K, Katsuno T, Nakaseko C, Yokosuka O (2012) Endoscopic findings of small-intestinal Epstein-Barr virus-associated T-cell lymphoproliferative disorder. Endoscopy 44 Suppl 2 UCTN:E30-1. https://doi.org/10.1055/s-0030-1257081 CrossRef Sazuka S, Takahashi Y, Kawaguchi T, Sato T, Nakagawa T, Furuya Y, Saito M, Saito K, Katsuno T, Nakaseko C, Yokosuka O (2012) Endoscopic findings of small-intestinal Epstein-Barr virus-associated T-cell lymphoproliferative disorder. Endoscopy 44 Suppl 2 UCTN:E30-1. https://​doi.​org/​10.​1055/​s-0030-1257081 CrossRef
16.
go back to reference Shen K, Chen XC, Liu T (2013) Intestinal lesions as the primary clinical manifestation of adult-onset systemic Epstein-Barr virus positive T-cell lymphoproliferative disease. West China Med J 28:840–843 Shen K, Chen XC, Liu T (2013) Intestinal lesions as the primary clinical manifestation of adult-onset systemic Epstein-Barr virus positive T-cell lymphoproliferative disease. West China Med J 28:840–843
18.
go back to reference Zheng X, Xie J, Zhou X (2015) Epstein-Barr virus associated T-cell lymphoproliferative disease misdiagnosed as ulcerative colitis: a case report. Int J Clin Exp Pathol 8:8598–8602PubMedPubMedCentral Zheng X, Xie J, Zhou X (2015) Epstein-Barr virus associated T-cell lymphoproliferative disease misdiagnosed as ulcerative colitis: a case report. Int J Clin Exp Pathol 8:8598–8602PubMedPubMedCentral
20.
go back to reference Kimura H, Hoshino Y, Kanegane H, Tsuge I, Okamura T, Kawa K, Morishima T (2001) Clinical and virologic characteristics of chronic active Epstein-Barr virus infection. Blood 98:280–286CrossRef Kimura H, Hoshino Y, Kanegane H, Tsuge I, Okamura T, Kawa K, Morishima T (2001) Clinical and virologic characteristics of chronic active Epstein-Barr virus infection. Blood 98:280–286CrossRef
21.
go back to reference Suzuki K, Ohshima K, Karube K, Suzumiya J, Ohga S, Ishihara S, Tamura K, Kikuchi M (2004) Clinicopathological states of Epstein-Barr virus-associated T/NK-cell lymphoproliferative disorders (severe chronic active EBV infection) of children and young adults. Int J Oncol 24:1165–1174PubMed Suzuki K, Ohshima K, Karube K, Suzumiya J, Ohga S, Ishihara S, Tamura K, Kikuchi M (2004) Clinicopathological states of Epstein-Barr virus-associated T/NK-cell lymphoproliferative disorders (severe chronic active EBV infection) of children and young adults. Int J Oncol 24:1165–1174PubMed
23.
go back to reference Beaugerie L, Brousse N, Bouvier AM, Colombel JF, Lemann M, Cosnes J, Hebuterne X, Cortot A, Bouhnik Y, Gendre JP, Simon T, Maynadie M, Hermine O, Faivre J, Carrat F, Group CS (2009) Lymphoproliferative disorders in patients receiving thiopurines for inflammatory bowel disease: a prospective observational cohort study. Lancet 374:1617–1625. https://doi.org/10.1016/S0140-6736(09)61302-7 CrossRefPubMed Beaugerie L, Brousse N, Bouvier AM, Colombel JF, Lemann M, Cosnes J, Hebuterne X, Cortot A, Bouhnik Y, Gendre JP, Simon T, Maynadie M, Hermine O, Faivre J, Carrat F, Group CS (2009) Lymphoproliferative disorders in patients receiving thiopurines for inflammatory bowel disease: a prospective observational cohort study. Lancet 374:1617–1625. https://​doi.​org/​10.​1016/​S0140-6736(09)61302-7 CrossRefPubMed
24.
go back to reference Sokol H, Beaugerie L, Maynadie M, Laharie D, Dupas JL, Flourie B, Lerebours E, Peyrin-Biroulet L, Allez M, Simon T, Carrat F, Brousse N, Group CS (2012) Excess primary intestinal lymphoproliferative disorders in patients with inflammatory bowel disease. Inflamm Bowel Dis 18:2063–2071. https://doi.org/10.1002/ibd.22889 CrossRefPubMed Sokol H, Beaugerie L, Maynadie M, Laharie D, Dupas JL, Flourie B, Lerebours E, Peyrin-Biroulet L, Allez M, Simon T, Carrat F, Brousse N, Group CS (2012) Excess primary intestinal lymphoproliferative disorders in patients with inflammatory bowel disease. Inflamm Bowel Dis 18:2063–2071. https://​doi.​org/​10.​1002/​ibd.​22889 CrossRefPubMed
Metadata
Title
EBV-associated lymphoproliferative disorder involving the gastrointestinal tract which mimic IBD in immunocompetent patients: case reports and literature review
Authors
Yanhua Zhou
Yanlin Zhang
Haiying Zhao
Xuan Cui
Yongqiu Wei
Yongdong Wu
Shutian Zhang
Ye Zong
Publication date
01-11-2019
Publisher
Springer Berlin Heidelberg
Published in
International Journal of Colorectal Disease / Issue 11/2019
Print ISSN: 0179-1958
Electronic ISSN: 1432-1262
DOI
https://doi.org/10.1007/s00384-019-03400-4

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