Rheumatol Int. 2011 Apr;31(4):533-5. Epub 2009 Oct 23.

Anaplastic large cell lymphoma in a patient with rheumatoid arthritis.

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Department of Rheumatology, Abant Izzet Baysal University Medical Faculty, Bolu, Turkey. cemalbes@hotmail.com

Abstract

It is known that patients with rheumatoid arthritis (RA) have an increased risk for non-Hodgkin's lymphomas in comparison with the general population. Although increased risk of lymphoma is attributed to the disease activity, the drugs used in the therapy of RA may also cause increased risk of malignancy. Herein, we report on an RA patient who developed non-Hodgkin's lymphoma after methotrexate therapy and review the literature about it. A 74-year-old man with RA had been treated with low-dose methotrexate and subsequently developed anaplastic large cell lymphoma of the T-cell phenotype. Anaplastic large cell lymphoma has been reported rarely in rheumatoid arthritis.

PMID:: 19851770; [PubMed - indexed for MEDLINE]

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Methotrexate

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Non-Hodgkin's lymphoma in patients with rheumatoid arthritis treated with low dose methotrexate. [J Rheumatol. 1996]
Non-Hodgkin's lymphoma in patients with rheumatoid arthritis treated with low dose methotrexate.
Usman AR, Yunus MB. J Rheumatol. 1996 Jun; 23(6):1095-7.
Review Association of methotrexate, rheumatoid arthritis and lymphoma: report of 2 cases and literature review. [J Rheumatol. 1992]
Review Association of methotrexate, rheumatoid arthritis and lymphoma: report of 2 cases and literature review.
Kingsmore SF, Hall BD, Allen NB, Rice JR, Caldwell DS. J Rheumatol. 1992 Sep; 19(9):1462-5.
Review [Malignant lymphoma in rheumatoid arthritis treated by low doses of methotrexate]. [Rev Rhum Ed Fr. 1993]
Review [Malignant lymphoma in rheumatoid arthritis treated by low doses of methotrexate].
Taillan B, Garnier G, Ferrari E, Castanet J, Pesce A, Fuzibet JG, Dujardin P. Rev Rhum Ed Fr. 1993 Mar; 60(3):248-50.
Review Two cases of methotrexate induced lymphomas in rheumatoid arthritis: an association with increased serum IgE. [J Rheumatol. 1999]
Review Two cases of methotrexate induced lymphomas in rheumatoid arthritis: an association with increased serum IgE.
Kono H, Inokuma S, Matsuzaki Y, Nakayama H, Yamazaki J, Hishima T, Maeda Y. J Rheumatol. 1999 Oct; 26(10):2249-53.
Remission of lymphoma after withdrawal of methotrexate in rheumatoid arthritis: relationship with type of latent Epstein-Barr virus infection. [Am J Hematol. 2007]
Remission of lymphoma after withdrawal of methotrexate in rheumatoid arthritis: relationship with type of latent Epstein-Barr virus infection.
Miyazaki T, Fujimaki K, Shirasugi Y, Yoshiba F, Ohsaka M, Miyazaki K, Yamazaki E, Sakai R, Tamaru J, Kishi K, et al. Am J Hematol. 2007 Dec; 82(12):1106-9.

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