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

Lupus. 2003;12(6):486-9. doi: 10.1191/0961203303lu414cr.

Abstract

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-old woman with nephrotic syndrome who presented with clinical features of SLE and renal-biopsy revealed lupus MGN. The patient also suffered from concomitant progressive lymphadenopathy and NHL (diffuse large B-cell type) was demonstrated by neck lymph node biopsy. Serologic studies demonstrated EBV infection and specific EBV antigens were present on lymph node and metastatic sites. We offer a discussion regarding the complex relationships between SLE, NHL, MGN and EBV.

Publication types

  • Case Reports

MeSH terms

  • Acute Kidney Injury
  • Adult
  • Biopsy, Needle
  • Diagnosis, Differential
  • Disease Progression
  • Epstein-Barr Virus Infections / diagnosis*
  • Fatal Outcome
  • Female
  • Glomerulonephritis, Membranous / diagnosis
  • Glomerulonephritis, Membranous / pathology*
  • Herpesvirus 4, Human / isolation & purification*
  • Humans
  • Immunohistochemistry
  • Lupus Nephritis / diagnosis
  • Lupus Nephritis / pathology*
  • Lymphoma, Large B-Cell, Diffuse / diagnosis
  • Lymphoma, Large B-Cell, Diffuse / pathology*
  • Risk Factors