B-Zell-mediierte Autoimmunerkrankungen: Risiko für B-Zell-Lymphome?

M. Sticherling
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Abstract

Primary cutaneous B-cell lymphomas (pcBCLs) are non-Hodgkin lymphomas present in the skin without evidence of extracutaneous involvement at diagnosis and include primary cutaneous marginal zone lymphoma, primary cutaneous follicle center lymphoma, intravascular large B-cell lymphoma, and primary cutaneous diffuse large B-cell lymphoma, leg-type [1]. While the etiology and pathogenesis of pcBCL is not fully understood, prior research suggests a possible association between autoimmune disease and primary cutaneous marginal zone lymphoma [2]. While it is known that patients with certain autoimmune disorders (systemic lupus erythematosus, autoimmune thyroiditis, Sjogren‘s, and sarcoidosis, among others) have an increased risk of developing non-Hodgkin lymphomas and other cancers due to chronic B-cell stimulation and immune dysregulation, little is known about the relationship between specific autoimmune diseases and pcBCL [3, 4].
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B细胞介导的自身免疫性疾病:B 细胞淋巴瘤的风险?
原发性皮肤 B 细胞淋巴瘤(pcBCLs)是指在诊断时无皮肤外受累证据的皮肤非霍奇金淋巴瘤,包括原发性皮肤边缘区淋巴瘤、原发性皮肤滤泡中心淋巴瘤、血管内大 B 细胞淋巴瘤和原发性皮肤弥漫大 B 细胞淋巴瘤(腿型)[1]。虽然 pcBCL 的病因和发病机制尚不完全清楚,但先前的研究表明,自身免疫性疾病与原发性皮肤边缘区淋巴瘤之间可能存在关联 [2]。众所周知,某些自身免疫性疾病(系统性红斑狼疮、自身免疫性甲状腺炎、Sjogren's 和肉样瘤病)患者由于慢性 B 细胞刺激和免疫失调,患非霍奇金淋巴瘤和其他癌症的风险会增加,但人们对特定自身免疫性疾病与 pcBCL 之间的关系知之甚少 [3,4]。
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