Epstein-Barr virus-positive iris diffuse large B-cell lymphoma detected by metagenomic next-generation sequencing

© 2024. The Author(s)..

PURPOSE: Epstein-Barr virus (EBV)-positive diffuse large B-cell lymphoma (DLBCL) is a relatively rare subtype of DLBCL. Herein, we report a case of a patient with EBV-positive iris DLBCL after undergoing penetrating keratoplasty and discuss its possible pathogenesis.

METHODS: A 72-year-old male patient presented to our hospital with progressive blurring of vision in the left eye for the past 4 months. Small white nodular lesions were observed on the iris and retinal surface of the left eye, with a white cloud-like opacity in the vitreous cavity.

RESULTS: The patient was eventually diagnosed with EBV-positive iris DLBCL after undergoing pathological and metagenomic tests. After injecting methotrexate in the left vitreous cavity and administering systemic and local antiviral treatments, the ocular lesions disappeared.

CONCLUSION: EBV infection, drug immunosuppression, and aging-related immune deterioration may play significant roles in the pathogenesis of EBV-positive iris DLBCL.

SYNOPSIS: Epstein-Barr virus (EBV)-positive diffuse large B-cell lymphoma (DLBCL) is a new subtype of DLBCL, which rarely occurs. Herein, we report a case of a patient with EBV-positive iris DLBCL after undergoing penetrating keratoplasty and discuss its possible pathogenesis.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:24

Enthalten in:

BMC ophthalmology - 24(2024), 1 vom: 04. März, Seite 99

Sprache:

Englisch

Beteiligte Personen:

Wang, Xiao-Na [VerfasserIn]
Hong, Jing [VerfasserIn]
Xu, Yong-Gen [VerfasserIn]
Zhang, Pei [VerfasserIn]
Li, Ying-Yu [VerfasserIn]
Dou, Hong-Liang [VerfasserIn]
Li, Hai-Ping [VerfasserIn]

Links:

Volltext

Themen:

Case Reports
Epstein-Barr virus
Journal Article
Lymphoma
MNGS

Anmerkungen:

Date Completed 06.03.2024

Date Revised 07.03.2024

published: Electronic

Citation Status MEDLINE

doi:

10.1186/s12886-024-03334-8

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM369287304