人类免疫缺陷病毒阳性女性的拉塞尔体宫颈炎:宫颈长期发炎的不寻常表现。

IF 1.2 Q3 OBSTETRICS & GYNECOLOGY
Journal of Mid-life Health Pub Date : 2024-01-01 Epub Date: 2024-04-04 DOI:10.4103/jmh.jmh_255_23
Mishu Mangla, Sumitra Sivakoti, Seetu Palo, Naina Kumar
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引用次数: 0

摘要

艾滋病病毒感染者对各种浆细胞疾病的易感性很高,包括从浆细胞慢性炎症等良性疾病到侵袭性多发性骨髓瘤等严重疾病。本病例是为数不多的宫颈浆细胞丰富性炎症病例之一,也可能是首次报道的艾滋病毒阳性女性病例。一名 34 岁的女性,P2L2,最后一次生育是在 8 年前,因过去 1 年来阴道有大量分泌物而到妇科门诊就诊。分泌物呈淡黄色,无臭味,水样,整个月经周期都有。经窥阴器检查,宫颈看起来不健康,有接触性出血。子宫颈抹片检查提示为高级别鳞状上皮内病变(HSIL)。活组织检查发现上皮下基质中富含大量浆细胞的炎症,并伴有拉塞尔体。本文还总结了迄今为止所有报道的罗素细胞宫颈炎病例,以及将其与其他富含浆细胞的宫颈病变(如恶性肿瘤和浆细胞瘤)相鉴别的要点。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Russell Body Cervicitis in a Human Immunodeficiency Virus-positive Female: An Unusual Presentation of Prolonged Cervical Inflammation.

Individuals living with HIV face an elevated susceptibility to various plasma cell disorders, encompassing a spectrum that spans from benign conditions like plasma cell chronic inflammation to more severe conditions such as aggressive multiple myeloma. The present case is one of the few cases of plasma cell rich inflammation of the cervix, and is probably the first being reported in an HIV positive female. A 34-year-old female, P2L2 with last child birth 8 years back visited gynecology OPD with complaints of copious vaginal discharge from last 1 year. The discharge was yellowish in color, non-foul smelling, watery in consistency and present all through the menstrual cycle. On per speculum examination, the cervix looked unhealthy and bleeding on contact was present. The Pap Smear was suggestive of a high grade squamous intra-epithelial lesion (HSIL). Biopsy revealed intense plasma cell-rich inflammation in the subepithelial stroma with Russel bodies. A summary of all reported cases of Russel cell cervicitis, reported till date and key points to differentiate it from other plasma cell rich cervical lesions like malakoplakia and plasmacytoma are also presented.

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来源期刊
Journal of Mid-life Health
Journal of Mid-life Health Social Sciences-Health (social science)
CiteScore
1.70
自引率
9.10%
发文量
39
审稿时长
43 weeks
期刊介绍: Journal of mid-life health is the official journal of the Indian Menopause society published Quarterly in January, April, July and October. It is peer reviewed, scientific journal of mid-life health and its problems. It includes all aspects of mid-life health, preventive as well as curative. The journal publishes on subjects such as gynecology, neurology, geriatrics, psychiatry, endocrinology, urology, andrology, psychology, healthy ageing, cardiovascular health, bone health, quality of life etc. as relevant of men and women in their midlife. The Journal provides a visible platform to the researchers as well as clinicians to publish their experiences in this area thereby helping in the promotion of mid-life health leading to healthy ageing, growing need due to increasing life expectancy. The Editorial team has maintained high standards and published original research papers, case reports and review articles from the best of the best contributors both national & international, consistently so that now, it has become a great tool in the hands of menopause practitioners.
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