病理学的にT細胞リンパ腫が疑われた急性HIV感染症  [in Japanese] Acute HIV infection pathologically mimicking T-cell lymphoma  [in Japanese]

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Author(s)

    • 松田 信 MATSUDA Shin
    • (財)太田綜合病院附属太田西ノ内病院 血液内科 Department of Hematology, Ohta Nishinouchi Hospital, Ohta General Hospital Foundation
    • 佐野 隆浩 SANO Takahiro
    • (財)太田綜合病院附属太田西ノ内病院 血液内科 Department of Hematology, Ohta Nishinouchi Hospital, Ohta General Hospital Foundation
    • 斎藤 由理恵 SAITOU Yurie
    • (財)太田綜合病院附属太田西ノ内病院 血液内科 Department of Hematology, Ohta Nishinouchi Hospital, Ohta General Hospital Foundation
    • 神林 裕行 KANBAYASHI Hiroyuki
    • (財)太田綜合病院附属太田西ノ内病院 血液内科 Department of Hematology, Ohta Nishinouchi Hospital, Ohta General Hospital Foundation

Abstract

<p>A 49-year-old man was hospitalized with infectious mononucleosis-like symptoms, hepatosplenomegaly, and circulating abnormal lymphocytes. Hepatosplenic T-cell lymphoma was suspected, and bone marrow aspiration and liver biopsy were performed. The pathological diagnosis was T-cell lymphoma. When explaining malignant lymphoma to the patient, he disclosed his Men Who Have Sex with Men (MSM) status. HIV RNA test showed a markedly high viral load, and TCR gene rearrangement was negative. In view of these results, the patient was diagnosed with acute HIV infection. The previous lack of information concerning his MSM status led to a misdiagnosis, highlighting the relevance of this case to raise awareness of the importance of previously interviewing the patient.</p>

Journal

  • Rinsho Ketsueki

    Rinsho Ketsueki 60(7), 797-799, 2019

    The Japanese Society of Hematology

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