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Volume 218, Issue 1, Pages 125-128 (25 January 2010)


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An atypical case of X-linked lymphoproliferative disease revealed as a late cerebral lymphoma

B. HervieraCorresponding Author Informationemail address, S. Latourb, D. Loussouarnc, M. Rimbertd, G De-Saint-Basileb, C. Picardb, M. Hamidoua

Received 3 August 2009; received in revised form 12 October 2009; accepted 19 October 2009. published online 11 November 2009.

Abstract 

X-linked lymphoproliferative disease (XLP) is an inherited immunodeficiency, partially characterized by a defect in cytotoxicity to Epstein-Barr virus. This viral infection is therefore often fatal in affected boys, whilst a variety of immune disorders or proliferative diseases may occur in surviving patients.

We report an atypical case of a 41year-old male who presented with a primitive B-cell cerebral lymphoma, revealing an XLP.

This presentation was unusual because of its late onset, the broad spectrum of the familial characteristics, its initial presentation as a cerebral lymphoma, and the occurrence of B-cell alymphocytosis associated with a-gamma-globulinemia.

a Internal Medicine Department, CHU NANTES, Place Alexis Ricordeau, 44093 Nantes, France

b Unité Inserm U768, Hopital Necker-Enfants-Malades, 75015 Paris, France

c Pathology Department, CHU NANTES, France

d Laboratory of Immunology, CHU NANTES, France

Corresponding Author InformationCorresponding author. Tel.: +33 2 40 08 33 55; fax: +33 2 40 8 33 79.

PII: S0165-5728(09)00404-4

doi:10.1016/j.jneuroim.2009.10.012


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