Source:http://linkedlifedata.com/resource/pubmed/id/16930333
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
9
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pubmed:dateCreated |
2006-8-25
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pubmed:abstractText |
The present case involves unique enteritis forming multiple ulcers associated with Epstein-Barr virus (EBV). A 57-year-old man had undergone a reduced intensity allogeneic stem cell transplantation for a relapse of multiple myeloma following sequential autologous peripheral blood stem cell transplantation. The ileum, resected for massive melena, showed multiple irregular ulcers with occasional cobblestone-like appearance. There was inflammation including numerous plasma cells in the ulcer bases and surrounding areas, where many EBV-infected plasma cells were detected by double staining with EBV-encoded small RNA-1 (EBER-1) in situ hybridization and CD79a, while EBV-infected epithelial cells were not noted. The number of EBER-1-positive cells in the ileum (mucosa, 1451 cells/mm(2); submucosa, 465 cells/mm(2)) was much larger than in control samples (malignant lymphoma or leukemia after allogeneic stem cell transplantation, n = 4, range 0-113 cells/mm(2); malignant lymphoma after chemotherapy, n = 14, range 0-0.89 cells/mm(2); colon cancer, n = 12, range 0-3.5 cells/mm(2)). In the mucosa near the ulcers, EBER-1-positive cells often surrounded and involved the glandular epithelium, forming lymphoepithelial-like lesions. The histological findings differ from post-transplant lymphoproliferative disorders or intestinal thrombotic microangiopathy, and this is the first case of EBV-associated enteritis with ulcers characterized by numerous plasma cells and lymphoepithelial-like lesions after stem cell transplantation.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Sep
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pubmed:issn |
1320-5463
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
56
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
530-7
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pubmed:meshHeading |
pubmed-meshheading:16930333-Antigens, CD79,
pubmed-meshheading:16930333-Enteritis,
pubmed-meshheading:16930333-Epstein-Barr Virus Infections,
pubmed-meshheading:16930333-Graft vs Host Disease,
pubmed-meshheading:16930333-Herpesvirus 4, Human,
pubmed-meshheading:16930333-Humans,
pubmed-meshheading:16930333-Ileum,
pubmed-meshheading:16930333-Immunosuppressive Agents,
pubmed-meshheading:16930333-In Situ Hybridization,
pubmed-meshheading:16930333-Intestinal Mucosa,
pubmed-meshheading:16930333-Male,
pubmed-meshheading:16930333-Middle Aged,
pubmed-meshheading:16930333-Multiple Myeloma,
pubmed-meshheading:16930333-Plasma Cells,
pubmed-meshheading:16930333-RNA, Viral,
pubmed-meshheading:16930333-Stem Cell Transplantation,
pubmed-meshheading:16930333-Ulcer
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pubmed:year |
2006
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pubmed:articleTitle |
Epstein-Barr virus-associated enteritis with multiple ulcers after stem cell transplantation: first histologically confirmed case.
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pubmed:affiliation |
Department of Pathology, Imakiire General Hospital, Japan.
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pubmed:publicationType |
Journal Article,
Case Reports
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