Abstract
Fifteen cases of a unique lymphadenitis called subacute necrotizing lymphadenitis were studied electron-microscopically. The large lymphoreticular cells proliferating at cortical or paracortical areas of the lymph nodes mainly consisted of immunoblasts and histiocytoid cells, which were characterized by numerous intracytoplasmic myelinlike inclusions. Such histiocytoid cells seemed to be derived from the immunoblasts. Tubuloreticular structures, which had been often noticed within endothelial cells or lymphocytes of the patients with systemic lupus erythematosus (SLE) or SLE-related diseases, were also observed with high frequency in most cases examined. They were present within the cytoplasm of immunoblasts, endothelial cells, and histiocytoid cells. Immunoblasts in mitosis occasionally contained these structures. We offer the hypothesis that subacute necrotizing lymphadenitis with still unknown etiology may reflect a self-limited SLE-like autoimmune condition induced by virus-infected transformed lymphocytes.
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- Christian C. L., Phillips P. E. Viruses and autoimmunity. Am J Med. 1973 May;54(5):611–620. doi: 10.1016/0002-9343(73)90119-8. [DOI] [PubMed] [Google Scholar]
- Dorfman R. F., Warnke R. Lymphadenopathy simulating the malignant lymphomas. Hum Pathol. 1974 Sep;5(5):519–550. doi: 10.1016/s0046-8177(74)80005-5. [DOI] [PubMed] [Google Scholar]
- Feorino P. M., Hierholzer J. C., Norton W. L. Viral isolation studies of inclusion positive biopsy from human connective tissue diseases. Arthritis Rheum. 1970 Jul-Aug;13(4):378–380. doi: 10.1002/art.1780130403. [DOI] [PubMed] [Google Scholar]
- Grimley P. M., Barry D. W., Schaff Z. Induction of tubular structures in the endoplasmic reticulum of human lymphoid cells by treatment with 5-bromo-2'-deoxyuridine. J Natl Cancer Inst. 1973 Dec;51(6):1751–1760. doi: 10.1093/jnci/51.6.1751. [DOI] [PubMed] [Google Scholar]
- Grimley P. M., Schaff Z. Significance of tubuloreticular inclusions in the pathobiology of human diseases. Pathobiol Annu. 1976;6:221–257. [PubMed] [Google Scholar]
- Györkey F., Min K. W., Sincovics J. G., Györkey P. Systemic lupus erythematosus and myxovirus. N Engl J Med. 1969 Feb 6;280(6):333–333. doi: 10.1056/nejm196902062800620. [DOI] [PubMed] [Google Scholar]
- Imamura M., Block S. R., Mellors R. C. Electron microscopic study of distinctive structures in peripheral blood lymphocytes obtained from twins with systemic lupus erythematosus. Am J Pathol. 1975 Dec;81(3):561–574. [PMC free article] [PubMed] [Google Scholar]
- Imamura M., Muroya K. Lymph node ultrastructure in Hand-Schüller-Christian disease. Cancer. 1971 Apr;27(4):956–964. doi: 10.1002/1097-0142(197104)27:4<956::aid-cncr2820270431>3.0.co;2-g. [DOI] [PubMed] [Google Scholar]
- Kadin M. E., Kamoun M., Lamberg J. Erythrophagocytic T gamma lymphoma: a clinicopathologic entity resembling malignant histiocytosis. N Engl J Med. 1981 Mar 12;304(11):648–653. doi: 10.1056/NEJM198103123041106. [DOI] [PubMed] [Google Scholar]
- Kikuchi M., Yoshizumi T., Nakamura H. Necrotizing lymphadenitis: possible acute toxoplasmic infection. Virchows Arch A Pathol Anat Histol. 1977 Nov 25;376(3):247–253. doi: 10.1007/BF00432400. [DOI] [PubMed] [Google Scholar]
- Klippel J. H., Decker J. L. Epstein-Barr virus antibody and lymphocyte tubuloreticular structures in systemic lupus erythematosus. Lancet. 1973 Nov 10;2(7837):1057–1058. doi: 10.1016/s0140-6736(73)92662-7. [DOI] [PubMed] [Google Scholar]
- Norton W. L. Endothelial inclusions in active lesions of systemic lupus erythematosus. J Lab Clin Med. 1969 Sep;74(3):369–379. [PubMed] [Google Scholar]
- Schaff Z., Barry D. W., Grimley P. M. Cytochemistry of tubuloreticular structures in lymphocytes from patients with systemic lupus erythematosus and in cultured human lymphoid cells: comparison to a paramyxovirus. Lab Invest. 1973 Dec;29(6):577–586. [PubMed] [Google Scholar]
- Shimamine T., Mori S., Itoyama S. [Problems in biopsy diagnosis of tumors of lymph nodes--differentiation of lymph node hyperplasia from malignant lymphoma]. Nihon Rinsho. 1974 Jun;32(6):1197–1202. [PubMed] [Google Scholar]