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Shi S, Li L, Pan C, Yang Y, Chen G, He Y. Case report: Systemic muscle involvement as the primary clinical manifestation of chronic active Epstein–Barr virus infection: A case-based review. Front Immunol 2022; 13:1027859. [PMID: 36275709 PMCID: PMC9585235 DOI: 10.3389/fimmu.2022.1027859] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2022] [Accepted: 09/20/2022] [Indexed: 11/13/2022] Open
Abstract
Chronic active Epstein–Barr virus infection (CAEBV) is common in Asian countries and characterized by recurrent or persistent infectious mononucleosis-like symptoms. Here, we describe a rare case of CAEBV-associated generalized myositis with extranodal NK/T-cell lymphoma, who initially presented with swelling and muscle soreness in the extremities and was diagnosed as polymyositis at the initial stage. CAEBV-associated generalized myositis is different from polymyositis and other types of myositis. Furthermore, it is prone to lymphoma with poor prognosis.
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Affiliation(s)
- Shanfen Shi
- Department of Rheumatology, The Affiliated People’s Hospital of Ningbo University, Ningbo, China
- *Correspondence: Shanfen Shi,
| | - Liangda Li
- Department of Neurology, The Affiliated People’s Hospital of Ningbo University, Ningbo, China
| | - Cuiping Pan
- Department of Rheumatology, The Affiliated People’s Hospital of Ningbo University, Ningbo, China
| | - Yandi Yang
- Department of Rheumatology, The Affiliated People’s Hospital of Ningbo University, Ningbo, China
| | - Gun Chen
- Department of Pathology, The Affiliated People’s Hospital of Ningbo University, Ningbo, China
| | - Yongping He
- Department of Rheumatology, The Affiliated People’s Hospital of Ningbo University, Ningbo, China
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