EBV-positive primary central nervous system lymphomas in monozygote twins with common variable immunodeficiency and suspected multiple sclerosis

Leuk Lymphoma. 1997 Dec;28(1-2):187-93. doi: 10.3109/10428199709058346.


Common variable immunodeficiency represents the most frequently occurring primary immunodeficiency disorder and is usually detected sporadically in patients with no family history of immunodeficiency. We present the case stories of two monozygote twins, who following a period of decreasing serum immunoglobulins developed primary central nervous system lymphomas. One twin had clinical and paraclinical features mimicking multiple sclerosis. Immunohistochemical investigations on biopsy tissue showed expression of the bcl-2 and p53 gene products, and Epstein-Barr virus (EBV) encoded small RNA's (EBER) indicating latent infection were detected in lymphoma cells using in situ hybridisation techniques. The pathogenetic role of EBV in oncogenesis is discussed.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Central Nervous System Neoplasms* / complications
  • Central Nervous System Neoplasms* / genetics
  • Central Nervous System Neoplasms* / virology
  • Common Variable Immunodeficiency / complications*
  • Female
  • Herpesviridae Infections*
  • Herpesvirus 4, Human / isolation & purification*
  • Humans
  • Lymphoma* / complications
  • Lymphoma* / genetics
  • Lymphoma* / virology
  • Multiple Sclerosis / complications*
  • Tumor Virus Infections*
  • Twins, Monozygotic