title: AIDS-associated secondary lymphoma of bone: a case report with review of the literature.
abstract: Although musculoskeletal lesions are not reported as commonly as pulmonary or central nervous system abnormalities in human immunodeficiency virus (HIV)-positive individuals, a wide variety of osseous and soft-tissue changes are seen in these patients. We describe the case of a 35-year-old injection drug user with acquired immune deficiency syndrome (AIDS) who presented with diffuse adenopathy, lower extremity pain and swelling, subcutaneous nodules, and constitutional symptoms. Radiographic images showed bilateral lytic lesions of the tibia and accompanying soft-tissue masses. Biopsy of the bone and soft-tissue abnormalities established a diagnosis of Burkitt's-like non-Hodgkin's lymphoma (NHL). By recognizing the heterogeneity of AIDS-associated NHL presentations, and the potential clinical overlap between malignancy, infection, and other rheumatologic abnormalities, physicians may obtain appropriate diagnostic studies and offer treatment recommendations.
authors.affiliation: Department of Orthopaedic Surgery, Emory University School of Medicine, Atlanta, Georgia, USA.
authors.forename: A J
authors.initials: AJ
authors.lastname: Aboulafia
authors.forename: F
authors.initials: F
authors.lastname: Khan
authors.forename: D
authors.initials: D
authors.lastname: Pankowsky
authors.forename: D M
authors.initials: DM
authors.lastname: Aboulafia
mesh_terms: D000328:Adult; D001707:Biopsy, Needle; D001859:Bone Neoplasms / Q000175:diagnosis* / Q000209:etiology* / Q000473:pathology; D018450:Disease Progression; D017809:Fatal Outcome; D006801:Humans; D016483:Lymphoma, AIDS-Related / Q000175:diagnosis* / Q000473:pathology; D008228:Lymphoma, Non-Hodgkin / Q000175:diagnosis* / Q000209:etiology* / Q000473:pathology; D008279:Magnetic Resonance Imaging; D008297:Male; D013977:Tibia / Q000473:pathology*; D016312:Treatment Refusal