The lymphoid follicle variant of dermatomyositis.

作者: Josefine Radke , Debora Pehl , Eleonora Aronica , Dieneke Schonenberg-Meinema , Udo Schneider

DOI: 10.1212/NXI.0000000000000019

关键词:

摘要: Objective: To investigate the clinical and morphologic spectrum of early adult–onset dermatomyositis (DM), an inflammatory disease that affects small vessels muscle skin. Methods: Histologic evaluation frozen samples was employed to visualize cellular organization ectopic lymphoid structures in biopsies obtained from 2 patients diagnosed with DM. Clinical presentation features, as well treatment follow-up, were assessed documented. Electron microscopy used confirm light microscopic diagnosis Clonality analysis B-cell populations using PCR performed. Results: Muscle biopsy both fulfilled European Neuromuscular Centre criteria Analyses revealed follicle-like showed a remarkable similarity secondary organs (SLOs) distinct T- compartmentalization. Our exhibited atypical mild responded favorably therapy. Conclusions: The histopathologic features DM can be atypical, presence SLOs is not inevitably linked unfavorable prognosis.

参考文章(10)
M. De Visser, A.M. Emslie-Smith, A.G. Engel, Early ultrastructural alterations in adult dermatomyositis: Capillary abnormalities precede other structural changes in muscle Journal of the Neurological Sciences. ,vol. 94, pp. 181- 192 ,(1989) , 10.1016/0022-510X(89)90228-1
Corinna Preuße, Hans H. Goebel, Josephin Held, Oliver Wengert, Franziska Scheibe, Kerstin Irlbacher, Arend Koch, Frank L. Heppner, Werner Stenzel, Immune-Mediated Necrotizing Myopathy Is Characterized by a Specific Th1-M1 Polarized Immune Profile American Journal of Pathology. ,vol. 181, pp. 2161- 2171 ,(2012) , 10.1016/J.AJPATH.2012.08.033
Janneke van de Vlekkert, Jessica E. Hoogendijk, Marianne de Visser, Long-term follow-up of 62 patients with myositis Journal of Neurology. ,vol. 261, pp. 992- 998 ,(2014) , 10.1007/S00415-014-7313-Z
J J M van Dongen, A W Langerak, M Brüggemann, P A S Evans, M Hummel, F L Lavender, E Delabesse, F Davi, E Schuuring, R García-Sanz, J H J M van Krieken, J Droese, D González, C Bastard, H E White, M Spaargaren, M González, A Parreira, J L Smith, G J Morgan, M Kneba, E A Macintyre, Design and standardization of PCR primers and protocols for detection of clonal immunoglobulin and T-cell receptor gene recombinations in suspect lymphoproliferations: report of the BIOMED-2 Concerted Action BMH4-CT98-3936. Leukemia. ,vol. 17, pp. 2257- 2317 ,(2003) , 10.1038/SJ.LEU.2403202
Jessica E Hoogendijk, Anthony A Amato, Bryan R Lecky, Ernest H Choy, Ingrid E Lundberg, Michael R Rose, Jiri Vencovsky, Marianne de Visser, Richard A Hughes, 119th ENMC international workshop: trial design in adult idiopathic inflammatory myopathies, with the exception of inclusion body myositis, 10-12 October 2003, Naarden, The Netherlands. Neuromuscular Disorders. ,vol. 14, pp. 337- 345 ,(2004) , 10.1016/J.NMD.2004.02.006
Francesca Aloisi, Ricardo Pujol-Borrell, Lymphoid neogenesis in chronic inflammatory diseases Nature Reviews Immunology. ,vol. 6, pp. 205- 217 ,(2006) , 10.1038/NRI1786
Consuelo M. López De Padilla, Abbe N. Vallejo, David Lacomis, Kelly McNallan, Ann M. Reed, Extranodal lymphoid microstructures in inflamed muscle and disease severity of new-onset juvenile dermatomyositis. Arthritis & Rheumatism. ,vol. 60, pp. 1160- 1172 ,(2009) , 10.1002/ART.24411
Lucy R Wedderburn, Hemlata Varsani, Charles KC Li, Katy R Newton, Anthony A Amato, Brenda Banwell, Kevin E Bove, Andrea M Corse, Alison Emslie‐Smith, Brian Harding, Jessica Hoogendijk, Ingrid E Lundberg, Suely Marie, Carlo Minetti, Inger Nennesmo, Elisabeth J Rushing, Caroline Sewry, Susan C Charman, Clarissa A Pilkington, Janice L Holton, None, International consensus on a proposed score system for muscle biopsy evaluation in patients with juvenile dermatomyositis: a tool for potential use in clinical trials. Arthritis Care and Research. ,vol. 57, pp. 1192- 1201 ,(2007) , 10.1002/ART.23012
J.L. De Bleecker, A.G. Engel, E.C. Butcher, Peripheral lymphoid tissue-like adhesion molecule expression in nodular infiltrates in inflammatory myopathies. Neuromuscular Disorders. ,vol. 6, pp. 255- 260 ,(1996) , 10.1016/0960-8966(96)00015-6
G.M. Jeffery, P.F. Golding, G.M. Mead, Non-Hodgkin's lymphoma arising in skeletal muscle Annals of Oncology. ,vol. 2, pp. 501- 504 ,(1991) , 10.1093/OXFORDJOURNALS.ANNONC.A058002