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Epstein-Barr virus-related primary cutaneous amyloidosis. Successful treatment with acyclovir & interferon-alpha

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By Drago F, Ranieri E, Pasto • www.ProHealth.com • January 8, 1996


Cutaneous lesions related to chronic active Epstein-Barr virus (EBV)
infection have been rarely documented in immunocompetent
patients. A 30-year-old woman, fulfilling the diagnostic
criteria for the chronic fatigue syndrome, had a 10-year
history of pruritic brownish macules and papules on her chest
and back. Her EBV serology was abnormal; the EBV genome was
present in the epidermis of lesions, in oral secretions, and
in peripheral mononuclear cells (PMC). Her blood lymphocytes
spontaneously outgrew in culture. Histology revealed deposits
of amyloid in the papillary dermis. Treatment with acyclovir
and interferon-alpha rapidly improved her condition, stopped
the lymphocyte outgrowth in culture, and reduced the EBV DNA
content in oral secretions and in PMC. These data support an
endogenous reactivation of EBV infection and suggest a causal
relationship with primary amyloidosis.



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