Development of primary central nervous system lymphoma in a systemic lupus erythematosus patient after treatment with mycophenolate mofetil and review of the literature

Lupus. 2017 Oct;26(11):1224-1227. doi: 10.1177/0961203317691370. Epub 2017 Feb 2.

Abstract

Primary central nervous system lymphoma (PCNSL) is a rare form of extranodal non-Hodgkin lymphoma and four cases of PCNSL have previously been described in association with mycophenolate mofetil. We report the fifth case of PCNSL in a patient with lupus nephropathy while on mycophenolate mofetil treatment.

Keywords: Systemic lupus erythematosus; haematological changes; nephritis.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adult
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use
  • Biopsy
  • Central Nervous System Neoplasms / chemically induced*
  • Central Nervous System Neoplasms / diagnosis
  • Central Nervous System Neoplasms / drug therapy
  • Central Nervous System Neoplasms / immunology
  • Diffusion Magnetic Resonance Imaging
  • Fatal Outcome
  • Female
  • Humans
  • Immunocompromised Host
  • Immunohistochemistry
  • Immunosuppressive Agents / adverse effects*
  • Lupus Erythematosus, Systemic / diagnosis
  • Lupus Erythematosus, Systemic / drug therapy*
  • Lupus Erythematosus, Systemic / immunology
  • Lymphoma, Large B-Cell, Diffuse / chemically induced*
  • Lymphoma, Large B-Cell, Diffuse / diagnosis
  • Lymphoma, Large B-Cell, Diffuse / drug therapy
  • Lymphoma, Large B-Cell, Diffuse / immunology
  • Middle Aged
  • Mycophenolic Acid / adverse effects*
  • Treatment Outcome
  • Young Adult

Substances

  • Immunosuppressive Agents
  • Mycophenolic Acid