Frontiers in Immunology (Oct 2022)

Case report: Systemic muscle involvement as the primary clinical manifestation of chronic active Epstein–Barr virus infection: A case-based review

  • Shanfen Shi,
  • Liangda Li,
  • Cuiping Pan,
  • Yandi Yang,
  • Gun Chen,
  • Yongping He

DOI
https://doi.org/10.3389/fimmu.2022.1027859
Journal volume & issue
Vol. 13

Abstract

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Chronic active Epstein–Barr virus infection (CAEBV) is common in Asian countries and characterized by recurrent or persistent infectious mononucleosis-like symptoms. Here, we describe a rare case of CAEBV-associated generalized myositis with extranodal NK/T-cell lymphoma, who initially presented with swelling and muscle soreness in the extremities and was diagnosed as polymyositis at the initial stage. CAEBV-associated generalized myositis is different from polymyositis and other types of myositis. Furthermore, it is prone to lymphoma with poor prognosis.

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