Abstract
Efalizumab is an immunosuppressive agent that has been approved for the treatment of psoriasis. There has been mounting evidence that efalizumab may be associated with lymphoma/malignancy development. To our knowledge, this is the first documented case of a patient who developed Epstein Barr Virus-associated large B cell lymphoma after treatment with efalizumab for psoriasis. As immunosuppressive medications such as efalizumab get increasingly prescribed, the likelihood of seeing various malignancies will increase. Thus, physicians need to have a high index of suspicion for malignancy in patients on immunosuppressive medications like efalizumab.
MeSH terms
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Antibodies, Monoclonal / adverse effects*
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Antibodies, Monoclonal / therapeutic use
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Antibodies, Monoclonal, Humanized
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Herpesvirus 4, Human / growth & development
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Humans
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Immunosuppressive Agents / adverse effects
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Immunosuppressive Agents / therapeutic use
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Lymphoma, B-Cell / chemically induced
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Lymphoma, B-Cell / diagnosis*
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Lymphoma, B-Cell / virology
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Lymphoma, Large B-Cell, Diffuse / chemically induced
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Lymphoma, Large B-Cell, Diffuse / diagnosis*
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Lymphoma, Large B-Cell, Diffuse / virology
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Lymphoproliferative Disorders / chemically induced
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Lymphoproliferative Disorders / diagnosis*
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Male
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Middle Aged
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Psoriasis / drug therapy
Substances
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Antibodies, Monoclonal
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Antibodies, Monoclonal, Humanized
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Immunosuppressive Agents
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efalizumab