Antineutrophil cytoplasmic autoantibody-associated systemic vasculitis is associated with epstein-barr virus in the setting of HIV infection

Mehdi Mirsaeidi, Fatima Syed, Elaine S. Jaffe

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

INTRODUCTION: Epstein-Barr virus has been a leading candidate as a trigger for several autoimmune diseases. We describe an antineutrophil cytoplasmic autoantibody (ANCA)-associated systemic vasculitis as the initial presenting illness of acquired immunodeficiency syndrome. CASE REPORT AND RESULTS: The patient's condition was diagnosed as ANCA-associated systemic vasculitis in the setting of human immunodeficiency virus infection because of a high level of ANCA level, crescent glomerulonephritis in pathology, and clinical signs and symptoms compatible with systemic vasculitis. He also had human immunodeficiency virus-associated lymphadenopathy with scattered Epstein-Barr virus RNA-positive cells and reactive germinal centers. CONCLUSION: Epstein-Barr virus genome was found in reactive lymph nodes and, therefore, may be associated with the immunopathogenesis of vasculitis.

Original languageEnglish (US)
Pages (from-to)50-53
Number of pages4
JournalInfectious Diseases in Clinical Practice
Volume21
Issue number1
DOIs
StatePublished - Jan 2013
Externally publishedYes

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Systemic Vasculitis
Human Herpesvirus 4
Autoantibodies
HIV Infections
HIV
Clinical Pathology
Germinal Center
Virus Diseases
Glomerulonephritis
Vasculitis
Autoimmune Diseases
Signs and Symptoms
Acquired Immunodeficiency Syndrome
Lymph Nodes
Genome
RNA

Keywords

  • ANCA-associated vasculitis
  • EBV
  • HIV

ASJC Scopus subject areas

  • Microbiology (medical)
  • Infectious Diseases

Cite this

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abstract = "INTRODUCTION: Epstein-Barr virus has been a leading candidate as a trigger for several autoimmune diseases. We describe an antineutrophil cytoplasmic autoantibody (ANCA)-associated systemic vasculitis as the initial presenting illness of acquired immunodeficiency syndrome. CASE REPORT AND RESULTS: The patient's condition was diagnosed as ANCA-associated systemic vasculitis in the setting of human immunodeficiency virus infection because of a high level of ANCA level, crescent glomerulonephritis in pathology, and clinical signs and symptoms compatible with systemic vasculitis. He also had human immunodeficiency virus-associated lymphadenopathy with scattered Epstein-Barr virus RNA-positive cells and reactive germinal centers. CONCLUSION: Epstein-Barr virus genome was found in reactive lymph nodes and, therefore, may be associated with the immunopathogenesis of vasculitis.",
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AB - INTRODUCTION: Epstein-Barr virus has been a leading candidate as a trigger for several autoimmune diseases. We describe an antineutrophil cytoplasmic autoantibody (ANCA)-associated systemic vasculitis as the initial presenting illness of acquired immunodeficiency syndrome. CASE REPORT AND RESULTS: The patient's condition was diagnosed as ANCA-associated systemic vasculitis in the setting of human immunodeficiency virus infection because of a high level of ANCA level, crescent glomerulonephritis in pathology, and clinical signs and symptoms compatible with systemic vasculitis. He also had human immunodeficiency virus-associated lymphadenopathy with scattered Epstein-Barr virus RNA-positive cells and reactive germinal centers. CONCLUSION: Epstein-Barr virus genome was found in reactive lymph nodes and, therefore, may be associated with the immunopathogenesis of vasculitis.

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