2006
DOI: 10.1093/ageing/afj009
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An unusual cause of pleural effusion

Abstract: Primary effusion lymphoma (PEL) is a unique clinicopathological entity associated with human herpesvirus-8 (HHV-8) infection, occurring almost exclusively in human immunodeficiency virus (HIV)-infected individuals. We report a rare case of HHV-8-negative PEL in an HIV-negative elderly patient who presented with pleural effusion. The patient was treated with CHOP and Rituximab. As opposed to the general poor outcome of this disease, our patient achieved complete remission and is still without signs of disease 1… Show more

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Cited by 17 publications
(7 citation statements)
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“…After excluding reports of HHV8-associated PEL and cases of T-cell or null immunophenotype, we identified 34 articles describing 46 unique cases [437]. Our review includes these 46 cases and our 2 cases for a total of 48 reported cases of HHV8-negative PEL.…”
Section: Resultsmentioning
confidence: 99%
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“…After excluding reports of HHV8-associated PEL and cases of T-cell or null immunophenotype, we identified 34 articles describing 46 unique cases [437]. Our review includes these 46 cases and our 2 cases for a total of 48 reported cases of HHV8-negative PEL.…”
Section: Resultsmentioning
confidence: 99%
“…Our findings suggest that chemotherapy benefits most patients, as those treated with any type of chemotherapy overall had a lower rate of death compared to patients who received no chemotherapy. Remarkably, the addition of rituximab to chemotherapy regimens induced remission in all 8 patients, 7 of whom were alive at the time of last follow-up [4, 8, 12, 13, 29, 31, 32]. The single patient who died following a rituximab-containing regimen died prematurely of a cause unrelated to lymphoma [8].…”
Section: Discussionmentioning
confidence: 99%
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“…However, this entity has been reported in a small number of cases associated with HHV8‐unrelated PEL‐like lymphoma. In the literature, we found 30 HHV8‐unrelated PEL‐like lymphoma HIV‐negative cases (4–27). Here, we present a rare case of PEL in an elderly patient without HIV or HHV‐8 infection who was followed up without therapy for 40 months.…”
mentioning
confidence: 99%
“…[ 50 ] In extremely rare cases, it can also exist in the absence of HIV and HHV-8. [ 51 ] PEL usually arises in body cavities, such as the pleural space or the pericardium, hence also “body cavity lymphoma.”…”
Section: Primary Effusion Lymphomamentioning
confidence: 99%