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Lupus
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EBER-1 positive diffuse large cell lymphoma presenting as lupus nephritis

Ming-Hsien Lin

Department of Internal Medicine, National Cheng Kung University Hospital, Tainan, Taiwan, ROC

Jeng-Jong Huang

Department of Internal Medicine, National Cheng Kung University Hospital, Tainan, Taiwan, ROC, jjhuang{at}mail.ncku.edu.tw

Tsai-Yun Chen

Department of Internal Medicine, National Cheng Kung University Hospital, Tainan, Taiwan, ROC

Fen-Fen Chen

Department of Pathology, College of Medicine, National Cheng Kung University, Tainan, Taiwan, ROC

Kong-Chao Chang

Department of Pathology, College of Medicine, National Cheng Kung University, Tainan, Taiwan, ROC

Ming-Fei Liu

Department of Internal Medicine, National Cheng Kung University Hospital, Tainan, Taiwan, ROC

Wen-Tsung Huang

Department of Internal Medicine, National Cheng Kung University Hospital, Tainan, Taiwan, ROC

Wu-Chou Su

Department of Internal Medicine, National Cheng Kung University Hospital, Tainan, Taiwan, ROC

Chao-Jung Tsao

Department of Internal Medicine, National Cheng Kung University Hospital, Tainan, Taiwan, ROC

Approximately one-third of membranous glomerulonephritis (MGN) cases in adults are associated with systemic diseases, including systemic lupus erythematosus(SLE) or malignancies. Malignancy-associated glomerulonephritis is rarely found in non-Hodgkin’s lymphoma (NHL). Epstein-Barr virus (EBV) has been postulated to contribute to the pathogenesis of both SLE and NHL. We described a 37-year-oldwoman with nephrotic syndrome who presented with clinical features of SLE and renal-biopsy revealed lupus MGN. The patient also suffered from concomitant progressive lymphadenopathyand NHL (diffuse large B-cell type) was demonstratedby neck lymph node biopsy. Serologic studies demonstratedEBV infection and specific EBV antigenswere present on lymph node and metastatic sites. We offer a discussion regarding the complex relationships between SLE, NHL, MGN and EBV.

Key Words: Epstein-Barr virus (EBV) • membranous glomerulonephritis (MGN) • non-Hodgkin’s lymphoma (NHL) • systemic lupus erythematosus (SLE)

Lupus, Vol. 12, No. 6, 486-489 (2003)
DOI: 10.1191/0961203303lu414cr
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