Linfoma y granulomatosis eosinofílica con poliangeitis (síndrome de Churg-Strauss): reporte de un caso
Palabras clave:
granulomatosis eosinofílica con poliangeitis, vasculitis ANCA, linfoma
Resumen
Diversas etiologías pueden desencadenar a las vasculitis ANCA (anticuerpos anticitoplasma de neutrófilo). Entre ellas se encuentran las neoplasias hematológicas, como los linfomas no Hodgkin, que pueden asociarse con diferentes autoanticuerpos y manifestaciones reumatológicas. Es esencial sospechar estas causas secundarias si la enfermedad tiene un curso crónico con respuesta tórpida al tratamiento. En el presente artículo se reporta un caso inusual de asociación entre granulomatosis eosinofílica con poliangeitis y linfoma no Hodgkin de bajo grado de agresividad.Citas
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XIV. Calonje JE, Greaves MW. Cutaneous extravascular necrotizing granuloma (Churg-Strauss) as a paraneoplastic manifestation of non-Hodgkin's B-cell lymphoma. J R Soc Med 1993 Sep;86(9):549-50.
XV. Finan MC, Winkelmann RK. Cutaneous extravascular necrotizing granuloma and lymphocytic lymphoma. Arch Dermatol 1983 May;119(5):419-22.
XVI. Le Roy A, Terrier B, London J, Paugam A, Mouthon L, Lifermann F. Angioimmunoblastic T-cell lymphoma mimicking eosinophilic granulomatosis with polyangiitis (Churg-Strauss). Joint Bone Spine 2019 Mar;86(2):273-274.
XVII. Kawauchi M, Watanabe T, Hattori T, Suzuki A, Ishizu A, Jodo S. Eosinophilic granulomatosis with polyangiitis mimicking peripheral T-cell lymphoma, not otherwise specified. Scand J Rheumatol 2019 Mar;48(2):171-172.
XVIII. Byrne N, Murphy A, O'Dwyer M. Cutaneous hypereosinophilia secondary to a low-grade B-cell lymphoma. Int J Dermatol 2019 Aug;58(8):e146-e147.
XIX. Wang L, Zhang G, Zheng W, Tian X, Li M, Zeng X, Zhang F. Intra-abdominal mass, obstructive jaundice, and eosinophilia. Rheumatol Immunol Res 2022 Jul 6;3(2):90-92.
XX. Navarro-Román L, Medeiros LJ, Kingma DW, Zarate-Osrno A, Nguyen V, Samoszuk M, Jaffe ES. Malignant lymphomas of B-cell lineage with marked tissue eosinophilia. A report of five cases. Am J Surg Pathol 1994;18:347.
II. Baldini C, Talarico R, Della Rossa A, Bombardieri S. Clinical manifestations and treatment of Churg-Strauss syndrome. Rheum Dis Clin N Am 2010;36:527-543.
III. Naschitz JE, Rosner I, Rozenbaum M, Elias N, Yeshurun D. Cancer-associated rheumatic disorders. Semin Arthritis Rheum1995;24:231-41.
IV. Mody GM, Cassim B. Rheumatologic manifestations of malignancy. Curr Opin Rheumatol 1997;9:75-9.
V. Fain O, Hamidou M, Cacoub P, Godeau B, Wechsler B, ParièsJ, et al. Vasculitides associated with malignancies: analysis of sixty patients. Arthritis Rheum 2007 Dec 15;57(8):1473-80.
VI. Wang X, Peng Y, Gao J, Han S, Li Y. Risk of malignancy in Behçet disease: a meta-analysis with systematic review. Medicine (Baltimore) 2019 Nov;98(44):e17735.
VII. Kurzrock R, Cohen PR. Vasculitis and cancer. Clin Dermatol 1993;11:175-87.
VIII. Fain O, Guillevin L, Kaplan G, Sicard D, Lemaire V, Godeau P, et al. Vasculitis and neoplasms: 14 cases. Ann Med Interne (Paris) 1991;142:486-504.
IX. Blanco R, Martínez-Taboada VM, Rodríguez-Valverde V, García-Fuentes M. Cutaneous vasculitis in children and adults: associated diseases and etiologic factors in 303 patients. Medicine (Baltimore) 1998;77:403-18.
X. Varoczy L, Lajos G, Margit Z, Gyula S, Arpad I. Malignant lymphoma-associated autoimmune disease-a descriptive epidemiological study. Rheumatol Int. 2002;22:233-7.
XI. Shang W, Ning Y, Xu X, Li M, Guo S, Han M, et al. Incidence of cancer in ANCA-associated vasculitis: a meta-analysis of observational studies. PLoS One 2015 May 14;10(5):e0126016.
XII. Stemmler HJ, Hoelzl M, Moosmann N, Becker C, Lennertz A, Babaryka G. Lymphadenopathy and constitutional symptoms. Progress of a low-grade follicular lymphoma? Internist (Berl) 2006 May;47(5):528-32
XIII. Vougiouklakis T, Mitselou A, Agnantis NJ. Churg-Strauss syndrome (allergic granulomatous angiitis) associated with T lymphoblastic lymphoma. In Vivo 2004 Jul-Aug;18(4):477-9.
XIV. Calonje JE, Greaves MW. Cutaneous extravascular necrotizing granuloma (Churg-Strauss) as a paraneoplastic manifestation of non-Hodgkin's B-cell lymphoma. J R Soc Med 1993 Sep;86(9):549-50.
XV. Finan MC, Winkelmann RK. Cutaneous extravascular necrotizing granuloma and lymphocytic lymphoma. Arch Dermatol 1983 May;119(5):419-22.
XVI. Le Roy A, Terrier B, London J, Paugam A, Mouthon L, Lifermann F. Angioimmunoblastic T-cell lymphoma mimicking eosinophilic granulomatosis with polyangiitis (Churg-Strauss). Joint Bone Spine 2019 Mar;86(2):273-274.
XVII. Kawauchi M, Watanabe T, Hattori T, Suzuki A, Ishizu A, Jodo S. Eosinophilic granulomatosis with polyangiitis mimicking peripheral T-cell lymphoma, not otherwise specified. Scand J Rheumatol 2019 Mar;48(2):171-172.
XVIII. Byrne N, Murphy A, O'Dwyer M. Cutaneous hypereosinophilia secondary to a low-grade B-cell lymphoma. Int J Dermatol 2019 Aug;58(8):e146-e147.
XIX. Wang L, Zhang G, Zheng W, Tian X, Li M, Zeng X, Zhang F. Intra-abdominal mass, obstructive jaundice, and eosinophilia. Rheumatol Immunol Res 2022 Jul 6;3(2):90-92.
XX. Navarro-Román L, Medeiros LJ, Kingma DW, Zarate-Osrno A, Nguyen V, Samoszuk M, Jaffe ES. Malignant lymphomas of B-cell lineage with marked tissue eosinophilia. A report of five cases. Am J Surg Pathol 1994;18:347.
Publicado
2023-12-30
Cómo citar
1.
Gandino IJ, Muñoz SA, Fescina MM, Cayetti AL, Lutgen S, Basta MC. Linfoma y granulomatosis eosinofílica con poliangeitis (síndrome de Churg-Strauss): reporte de un caso. Rev. Argent. Reumatol. [Internet]. 30 de diciembre de 2023 [citado 24 de noviembre de 2024];34(4):135 -138. Disponible en: https://ojs.reumatologia.org.ar/index.php/revistaSAR/article/view/790
Sección
Caso Clínico
Derechos de autor 2023 a nombre de los autores. Derechos de reproducción: Sociedad Argentina de Reumatología
Esta obra está bajo licencia internacional Creative Commons Reconocimiento-NoComercial-SinObrasDerivadas 4.0.
