Large-vessel arteritis associated with chronic active Epstein-Barr virus infection

Kazuhiro Murakami, Masahiko Ohsawa, Shu Xin Hu, Hiroyuki Kanno, Katsuyuki Aozasa, Masato Nose

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56 Citations (Scopus)

Abstract

This report describes an autopsy case of large-vessel arteritis associated with chronic active Epstein-Barr virus (EBV) infection in a 10- year-old Japanese girl. All of the 3 main coronary arteries, bilateral common carotid and subclavian arteries, abdominal aorta and its major branches, and bilateral common iliac arteries were involved, and all showed aneurysmal dilation of the lumens. Histopathologic examination revealed mesoarteritis characterized by moth-eaten-appearing destruction of the medial elastic laminae, with T lymphocyte infiltration around the vasa vasorum and severe intimal thickening. The EBV DNA genome was detected in the diseased aortic tissue by polymerase chain reaction, and in the infiltrating lymphocytes by in situ hybridization. The clinical symptoms and histopathologic manifestations of the arterial lesions in this patient were obviously different from those of Kawasaki disease and Takayasu arteritis, and the arteritis was considered to be associated with the EBV infection.

Original languageEnglish
Pages (from-to)369-373
Number of pages5
JournalArthritis and Rheumatism
Volume41
Issue number2
DOIs
Publication statusPublished - 1998 Feb

ASJC Scopus subject areas

  • Immunology and Allergy
  • Rheumatology
  • Immunology
  • Pharmacology (medical)

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