Lyme borreliosis and multiple sclerosis are associated with primary effusion 
lymphoma.
Med Hypotheses.  2007; 69(1):117-9 (ISSN: 0306-9877)
Batinac T; Petranovic D; Zamolo G; Petranovic D; Ruzic A
Department of Dermatovenerology, Rijeka University Hospital, Kresimirova 42, 
51000 Rijeka, Croatia.

Multiple sclerosis (MS) is a chronic disease of the central nervous system 
characterized by chronic inflammation and demyelination. Studies suggested that 
the viral, especially Epstein-Barr virus infection, and bacterial infections, 
especially Borrelia burgdorferi infection, play a role in etiology of MS. MS 
prevalence parallels the distribution of the Lyme disease pathogen B. 
burgdorferi. Criteria used for diagnosis of MS can also be fulfilled in other 
conditions such as Lyme disease, a multisystem disorder resulting from 
infection by the tick-borne spirochete, B. burgdorferi. In the late period of 
Lyme disease demyelinating involvement of central nervous system can develop 
and MS can be erroneously diagnosed. A Lyme borreliosis can mimick central 
nervous system lymphoma. Also, B. burgdorferi has been implicated not only in 
etiology of MS, but also in etiology of lymphoma. Studies suggested that there 
is an increased risk of non-Hodgkin lymphoma in patients, who had a history of 
autoimmune diseases such as MS and that both non-Hodgkin's lymphomas and 
Hodgkin's disease were associated with Epstein-Barr virus infection. A small 
group of lymphomas called primary effusion lymphomas (PEL) is a recently 
individualized form of non-Hodgkin's lymphoma (WHO classification) that exhibit 
exclusive or dominant involvement of serous cavities, without a detectable 
solid tumor mass. These lymphomas have also been linked to Epstein-Barr virus 
and human herpes virus type 8 infections but virus negative cases have been 
described. Therefore, we propose that MS and neuroborreliosis are linked to 
central nervous system primary effusion lymphomas. As a first step in 
confirming or refuting our hypotheses, we suggest a thorough study of CSF in 
the patients suspected for the diagnosis of MS and Lyme borreliosis. 

 
PreMedline Identifier: 17197115 




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