Reversible Lymphomas Associated with Epstein-Barr Virus Occurring during Methotrexate Therapy for Rheumatoid Arthritis and Dermatomyositis
Onsi W. Kamel, Matthijs van de Rijn, Lawrence M. Weiss, Gregory J. Del Zoppo, P. Kahler Hench, Bruce A. Robbins, Paul G. Montgomery, Roger A. Warnke, and Ronald F. Dorfman
Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.
An increased risk of lymphoproliferative disorders has beenwell documented in patients who are treated with immunosuppressiveagents after organ transplantation1 and in patients with theacquired immunodeficiency syndrome2. The lymphomas that developin immunosuppressed patients after transplantation are typicallylarge-cell lymphomas that contain Epstein-Barr virus (EBV) andare closely linked to the level of competence of the immunesystem3. When treatment with immunosuppressive drugs is reducedor discontinued, these EBV-associated lymphomas may regresscompletely1; if the patient's immune status continues to becompromised, however, the tumor may continue to proliferateand result in death.
From the Department of Pathology, Stanford University Medical Center, Stanford, Calif. (O.W.K., M.R., R.A.W., R.F.D.); the Department of Pathology, City of Hope National Medical Center, Duarte, Calif. (L.M.W.); the Department of Molecular and Experimental Medicine and Division of Hematology/Medical Oncology (G.J.D.Z.), the Division of Rheumatology (P.K.H.), and the Department of Pathology (B.A.R.), Scripps Clinic and Research Foundation, La Jolla, Calif.; and the Division of Hematology/Oncology, Mountain States Tumor Institute, Boise, Idaho (P.G.M.).
Address reprint requests to Dr. Kamel at the Department of Pathology, Stanford University Medical Center, 300 Pasteur Dr., Stanford, CA 94305.
References
Related Letters:
Reversible Lymphomas
Shiroky J. B., Newkirk M. M., Kamel O. W., van de Rijn M., Warnke R. A., Dorfman R. F.
Extract |
Full Text
N Engl J Med 1993;
329:1657-1658, Nov 25, 1993.
Correspondence
Cyclosporine and Methotrexate for Severe Rheumatoid Arthritis
Schlesinger N., Huppert A., Hoch S., Malleson P., Steinberg A. D., Rosh J. R., Birnbaum A. H., van de Rijn M., Kamel O. W., Storb R., Thomas E. D., Tugwell P., Yocum D., Pincus T., Wells G.
Extract |
Full Text
N Engl J Med 1995;
333:1567-1569, Dec 7, 1995.
Correspondence
This article has been cited by other articles:
Selva-O'Callaghan, A., Palacios, A., Solans-Laque, R., Labirua, A., Salcedo-Allende, T., Vilardell-Tarres, M.
(2009). Epstein-Barr virus-associated lymphoma in patients with dermatomyositis. Be aware of double immunosuppression. Rheumatology (Oxford)
48: 1462-1463
[Full Text]
Sokol, H, Beaugerie, L
(2009). Inflammatory bowel disease and lymphoproliferative disorders: the dust is starting to settle. Gut
58: 1427-1436
[Abstract][Full Text]
Gayed, M, Bernatsky, S, Ramsey-Goldman, R, Clarke, A., Gordon, C
(2009). Lupus and cancer. Lupus
18: 479-485
[Abstract]
Evans, S. J., Watson, D. K., O'Sullivan, M.
(2008). Reversible Hodgkin's lymphoma associated with Epstein-Barr virus occurring during azathioprine therapy for SLE. Rheumatology (Oxford)
47: 1103-1104
[Full Text]
Biggar, R. J., Jaffe, E. S., Goedert, J. J., Chaturvedi, A., Pfeiffer, R., Engels, E. A., for the HIV/AIDS Cancer Match Study,
(2006). Hodgkin lymphoma and immunodeficiency in persons with HIV/AIDS. Blood
108: 3786-3791
[Abstract][Full Text]
Smedby, K. E., Baecklund, E., Askling, J.
(2006). Malignant Lymphomas in Autoimmunity and Inflammation: A Review of Risks, Risk Factors, and Lymphoma Characteristics.. Cancer Epidemiol. Biomarkers Prev.
15: 2069-2077
[Abstract][Full Text]
Franklin, J, Lunt, M, Bunn, D, Symmons, D, Silman, A
(2006). Incidence of lymphoma in a large primary care derived cohort of cases of inflammatory polyarthritis. Ann Rheum Dis
65: 617-622
[Abstract][Full Text]
Engels, E. A., Cerhan, J. R., Linet, M. S., Cozen, W., Colt, J. S., Davis, S., Gridley, G., Severson, R. K., Hartge, P.
(2005). Immune-Related Conditions and Immune-Modulating Medications as Risk Factors for Non-Hodgkin's Lymphoma: A Case-Control Study. Am J Epidemiol
162: 1153-1161
[Abstract][Full Text]
Zintzaras, E., Voulgarelis, M., Moutsopoulos, H. M.
(2005). The Risk of Lymphoma Development in Autoimmune Diseases: A Meta-analysis. Arch Intern Med
165: 2337-2344
[Abstract][Full Text]
Douglas, K. M. J., Raza, K., Stevens, R., Erb, N., Jones, E. L., Kitas, G. D.
(2005). Bronchial MALT lymphoma in longstanding rheumatoid arthritis. Rheumatology (Oxford)
44: 687-689
[Full Text]
Feng, W.-h., Cohen, J. I., Fischer, S., Li, L., Sneller, M., Goldbach-Mansky, R., Raab-Traub, N., Delecluse, H.-J., Kenney, S. C.
(2004). Reactivation of Latent Epstein-Barr Virus by Methotrexate: A Potential Contributor to Methotrexate-Associated Lymphomas. JNCI J Natl Cancer Inst
96: 1691-1702
[Abstract][Full Text]
Gelfand, J. M., Berlin, J., Van Voorhees, A., Margolis, D. J.
(2003). Lymphoma Rates Are Low but Increased in Patients With Psoriasis: Results From a Population-Based Cohort Study in the United Kingdom. Arch Dermatol
139: 1425-1429
[Abstract][Full Text]
Ebeo, C. T., Girish, M. R., Byrd, R. P., Roy, T. M., Mehta, J. B.
(2003). Methotrexate-Induced Pulmonary Lymphoma. Chest
123: 2150-2153
[Abstract][Full Text]
Callen, J. P.
(2002). When and How Should the Patient With Dermatomyositis or Amyopathic Dermatomyositis Be Assessed for Possible Cancer?. Arch Dermatol
138: 969-971
[Full Text]
Mariette, X., Cazals-Hatem, D., Warszawki, J., Liote, F., Balandraud, N., Sibilia, J.
(2002). Lymphomas in rheumatoid arthritis patients treated with methotrexate: a 3-year prospective study in France. Blood
99: 3909-3915
[Abstract][Full Text]
Farrell, R J, Ang, Y, Kileen, P, O'Briain, D S, Kelleher, D, Keeling, P W N, Weir, D G
(2000). Increased incidence of non-Hodgkin's lymphoma in inflammatory bowel disease patients on immunosuppressive therapy but overall risk is low. Gut
47: 514-519
[Abstract][Full Text]
Greiner, T., Armitage, J. O., Gross, T. G.
(2000). Atypical Lymphoproliferative Diseases. ASH Education Book
2000: 133-146
[Abstract][Full Text]
Munro, R, Porter, D R, Sturrock, R D
(1998). Lymphadenopathy in a patient with systemic onset juvenile chronic arthritis. Ann Rheum Dis
57: 513-517
[Full Text]
Paul, C., Tourneau, A. L., Cayuela, J. M., Devidas, A., Robert, C., Molinie, V., Dubertret, L.
(1997). Epstein-Barr Virus-Associated Lymphoproliferative Disease During Methotrexate Therapy for Psoriasis. Arch Dermatol
133: 867-871
[Abstract]
Kamel, O. W.
(1997). Lymphomas During Long-term Methotrexate Therapy. Arch Dermatol
133: 903-904
[Abstract]
Bologna, C., Picot, M.-C., Jorgensen, C., Viu, P., Verdier, R., Sany, J.
(1997). Study of eight cases of cancer in 426 rheumatoid arthritis patients treated with methotrexate. Ann Rheum Dis
56: 97-102
[Abstract][Full Text]
Csuka, M. E., Hanson, G. A.
(1996). Resolution of a Soft-Tissue Sarcoma in a Patient With Rheumatoid Arthritis After Discontinuation of Azathioprine Therapy. Arch Intern Med
156: 1573-1576
[Abstract]
Schlesinger, N., Huppert, A., Hoch, S., Malleson, P., Steinberg, A. D., Rosh, J. R., Birnbaum, A. H., van de Rijn, M., Kamel, O. W., Storb, R., Thomas, E. D., Tugwell, P., Yocum, D., Pincus, T., Wells, G.
(1995). Cyclosporine and Methotrexate for Severe Rheumatoid Arthritis. NEJM
333: 1567-1569
[Full Text]
Diehl, V., Tesch, H.
(1995). Hodgkin's Disease -- Environmental or Genetic?. NEJM
332: 461-463
[Full Text]
Weinblatt, M. E.
(1995). Methotrexate for Chronic Diseases in Adults. NEJM
332: 330-331
[Full Text]
Ritter, J. H., Wick, M. R.
(1994). Posttransplant Lymphoproliferative Disorders: Immunohistologic Differential Diagnosis With Severe Allograft Rejection. INT J SURG PATHOL
2: 105-115
[Abstract]
Cash, J. M., Klippel, J. H.
(1994). Second-Line Drug Therapy for Rheumatoid Arthritis. NEJM
330: 1368-1375
[Full Text]
Shiroky, J. B., Newkirk, M. M., Kamel, O. W., van de Rijn, M., Warnke, R. A., Dorfman, R. F.
(1993). Reversible Lymphomas. NEJM
329: 1657-1658
[Full Text]