Non-Hodgkin's Lymphoma Manifest as Gingival Hyperplasia in a Renal Transplant Recipient
Identifieur interne : 000844 ( Pmc/Checkpoint ); précédent : 000843; suivant : 000845Non-Hodgkin's Lymphoma Manifest as Gingival Hyperplasia in a Renal Transplant Recipient
Auteurs : Jung Hyun Kwon [Corée du Sud] ; Joon Chang Song [Corée du Sud] ; Sang Hun Lee [Corée du Sud] ; So Young Lee [Corée du Sud] ; Chul Woo Yang [Corée du Sud] ; Yong Soo Kim [Corée du Sud] ; Byung Kee Bang [Corée du Sud]Source :
- The Korean Journal of Internal Medicine [ 1226-3303 ] ; 2005.
Abstract
Gingival hyperplasia is a frequent complication in transplant patients who receive cyclosporine or calcium channel blockers. We studied an unusual case involving a renal transplant recipient with post-transplant non-Hodgkin's lymphoma that manifested as gingival hyperplasia. We initially consider that it was a side effect of cyclosporine and nifedipine. The lesion did not respond to dose reductions or the withdrawal of cyclosporine and nifedipine, and the gingival hyperplasia progressed in a localized fashion, becoming ulcerated and bleeding easily. Histological examination revealed the presence of malignant lymphoma.
Url:
DOI: 10.3904/kjim.2005.20.4.330
PubMed: 16491832
PubMed Central: 3891080
Affiliations:
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Séoul</region></placeName></affiliation></author><author><name sortKey="Song, Joon Chang" sort="Song, Joon Chang" uniqKey="Song J" first="Joon Chang" last="Song">Joon Chang Song</name><affiliation wicri:level="3"><nlm:aff id="A1">Division of Nephrology, Department of Internal Medicine, Kangnam St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Division of Nephrology, Department of Internal Medicine, Kangnam St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Lee, Sang Hun" sort="Lee, Sang Hun" uniqKey="Lee S" first="Sang Hun" last="Lee">Sang Hun Lee</name><affiliation wicri:level="3"><nlm:aff id="A1">Division of Nephrology, Department of Internal 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sort="Kim, Yong Soo" uniqKey="Kim Y" first="Yong Soo" last="Kim">Yong Soo Kim</name><affiliation wicri:level="3"><nlm:aff id="A1">Division of Nephrology, Department of Internal Medicine, Kangnam St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Division of Nephrology, Department of Internal Medicine, Kangnam St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Bang, Byung Kee" sort="Bang, Byung Kee" uniqKey="Bang B" first="Byung Kee" last="Bang">Byung Kee Bang</name><affiliation wicri:level="3"><nlm:aff id="A1">Division of Nephrology, Department of Internal Medicine, Kangnam St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Division of Nephrology, Department of Internal Medicine, Kangnam St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author></analytic><series><title level="j">The Korean Journal of Internal Medicine</title><idno type="ISSN">1226-3303</idno><idno type="eISSN">2005-6648</idno><imprint><date when="2005">2005</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Gingival hyperplasia is a frequent complication in transplant patients who receive cyclosporine or calcium channel blockers. We studied an unusual case involving a renal transplant recipient with post-transplant non-Hodgkin's lymphoma that manifested as gingival hyperplasia. We initially consider that it was a side effect of cyclosporine and nifedipine. The lesion did not respond to dose reductions or the withdrawal of cyclosporine and nifedipine, and the gingival hyperplasia progressed in a localized fashion, becoming ulcerated and bleeding easily. 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<front><journal-meta><journal-id journal-id-type="nlm-ta">Korean J Intern Med</journal-id><journal-id journal-id-type="iso-abbrev">Korean J. Intern. Med</journal-id><journal-id journal-id-type="publisher-id">KJIM</journal-id><journal-title-group><journal-title>The Korean Journal of Internal Medicine</journal-title></journal-title-group><issn pub-type="ppub">1226-3303</issn><issn pub-type="epub">2005-6648</issn><publisher><publisher-name>The Korean Association of Internal Medicine</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">16491832</article-id><article-id pub-id-type="pmc">3891080</article-id><article-id pub-id-type="doi">10.3904/kjim.2005.20.4.330</article-id><article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject></subj-group></article-categories><title-group><article-title>Non-Hodgkin's Lymphoma Manifest as Gingival Hyperplasia in a Renal Transplant Recipient</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Kwon</surname><given-names>Jung Hyun</given-names></name><degrees>M.D.</degrees><xref ref-type="aff" rid="A1"></xref></contrib><contrib contrib-type="author"><name><surname>Song</surname><given-names>Joon Chang</given-names></name><degrees>M.D.</degrees><xref ref-type="aff" rid="A1"></xref></contrib><contrib contrib-type="author"><name><surname>Lee</surname><given-names>Sang Hun</given-names></name><degrees>M.D.</degrees><xref ref-type="aff" rid="A1"></xref></contrib><contrib contrib-type="author"><name><surname>Lee</surname><given-names>So Young</given-names></name><degrees>M.D.</degrees><xref ref-type="aff" rid="A1"></xref></contrib><contrib contrib-type="author" corresp="yes"><name><surname>Yang</surname><given-names>Chul Woo</given-names></name><degrees>M.D.</degrees><xref ref-type="aff" rid="A1"></xref></contrib><contrib contrib-type="author"><name><surname>Kim</surname><given-names>Yong Soo</given-names></name><degrees>M.D.</degrees><xref ref-type="aff" rid="A1"></xref></contrib><contrib contrib-type="author"><name><surname>Bang</surname><given-names>Byung Kee</given-names></name><degrees>M.D.</degrees><xref ref-type="aff" rid="A1"></xref></contrib></contrib-group><aff id="A1">Division of Nephrology, Department of Internal Medicine, Kangnam St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul, Korea.</aff><author-notes><corresp>Correspondence to: Chul Woo Yang, M.D., Kangnam St. Mary's Hospital, The Catholic University of Korea, 505 Banpo-Dong, Seocho-Ku, Seoul 137-040, Korea. Tel: 82-2-590-2527, Fax: 82-2-536-0323, <email>yangch@catholic.ac.kr</email></corresp></author-notes><pub-date pub-type="ppub"><month>12</month><year>2005</year></pub-date><pub-date pub-type="epub"><day>31</day><month>12</month><year>2005</year></pub-date><volume>20</volume><issue>4</issue><fpage>330</fpage><lpage>334</lpage><history><date date-type="received"><day>03</day><month>3</month><year>2005</year></date><date date-type="accepted"><day>08</day><month>4</month><year>2005</year></date></history><permissions><copyright-statement>Copyright © 2005 The Korean Association of Internal Medicine</copyright-statement><copyright-year>2005</copyright-year><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc/3.0"><license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/">http://creativecommons.org/licenses/by-nc/3.0/</ext-link>) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p></license></permissions><abstract><p>Gingival hyperplasia is a frequent complication in transplant patients who receive cyclosporine or calcium channel blockers. We studied an unusual case involving a renal transplant recipient with post-transplant non-Hodgkin's lymphoma that manifested as gingival hyperplasia. We initially consider that it was a side effect of cyclosporine and nifedipine. The lesion did not respond to dose reductions or the withdrawal of cyclosporine and nifedipine, and the gingival hyperplasia progressed in a localized fashion, becoming ulcerated and bleeding easily. Histological examination revealed the presence of malignant lymphoma.</p></abstract><kwd-group><kwd>Gingival hyperplasia</kwd><kwd>Non-Hodgkin's lymphoma (NHL)</kwd><kwd>Renal transplantation</kwd></kwd-group></article-meta></front><floats-group><fig id="F1" position="float"><label>Figure 1</label><caption><p>Gross findings in a patient with gingival hyperplasia. Compared with cyclosporine-induced gingival hyperplasia, the gingival lesion in this patient was characterized by a focal, irregular surface and ulceration.</p></caption><graphic xlink:href="kjim-20-330-g001"></graphic></fig><fig id="F2" position="float"><label>Figure 2</label><caption><p>Serum cyclosporine levels in this patient decreased simultaneously with a reduction in the dose of cyclosporine from January 2002 onwards, but gingival hyperplasia was not alleviated despite this.</p></caption><graphic xlink:href="kjim-20-330-g002"></graphic></fig><fig id="F3" position="float"><label>Figure 3</label><caption><p>Microscopic image of a gingival biopsy showing atypical lymphocytes. These findings are indicative of the presence of leukemic cell infiltration and a malignant lymphoma or histiocytic tumor (×400, H-E stain).</p></caption><graphic xlink:href="kjim-20-330-g003"></graphic></fig><fig id="F4" position="float"><label>Figure 4</label><caption><p>An immunohistochemical image of a tissue section showing positive reactions to LCA (A) and L26 (B) and negative reactions to UCHL-1 and CD68. This is indicative of a diffuse large B cell type malignant lymphoma (×400).</p></caption><graphic xlink:href="kjim-20-330-g004"></graphic></fig><fig id="F5" position="float"><label>Figure 5</label><caption><p>An immunohistochemical stain showing a positive reaction to EBV (LMP) (×400).</p></caption><graphic xlink:href="kjim-20-330-g005"></graphic></fig></floats-group></pmc><affiliations><list><country><li>Corée du Sud</li></country><region><li>Région capitale de Séoul</li></region><settlement><li>Séoul</li></settlement></list><tree><country name="Corée du Sud"><region name="Région capitale de Séoul"><name sortKey="Kwon, Jung Hyun" sort="Kwon, Jung Hyun" uniqKey="Kwon J" first="Jung Hyun" last="Kwon">Jung Hyun Kwon</name></region><name sortKey="Bang, Byung Kee" sort="Bang, Byung Kee" uniqKey="Bang B" first="Byung Kee" last="Bang">Byung Kee Bang</name><name sortKey="Kim, Yong Soo" sort="Kim, Yong Soo" uniqKey="Kim Y" first="Yong Soo" last="Kim">Yong Soo Kim</name><name sortKey="Lee, Sang Hun" sort="Lee, Sang Hun" uniqKey="Lee S" first="Sang Hun" last="Lee">Sang Hun Lee</name><name sortKey="Lee, So Young" sort="Lee, So Young" uniqKey="Lee S" first="So Young" last="Lee">So Young Lee</name><name sortKey="Song, Joon Chang" sort="Song, Joon Chang" uniqKey="Song J" first="Joon Chang" last="Song">Joon Chang Song</name><name sortKey="Yang, Chul Woo" sort="Yang, Chul Woo" uniqKey="Yang C" first="Chul Woo" last="Yang">Chul Woo Yang</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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