We report two patients with systemic lupus erythematosus (SLE) in whom cytomegalovirus (CMV) infection may have played a significant role in the exacerbation or onset of symptoms. The first patient had thrombocytopenia and the second had proteinuria. CMV infection was observed in both patients when their symptoms developed.
Cohen J . Infection in immunologically-mediated disease: a review . J R Soc Med1983; 76: 508–513 .
2.
Bulpitt KJ , Brahn E . Systemic lupus erythematosus and concurrent cytomegalovirus vasculitis: diagnosis by antemortem skin biopsy . J Rheumatol1989; 16: 677–680 .
3.
Vasquez V , Barzaga RA , Cuunha BA . Cytomegalovirus-induced flare of systemic lupus erythematosus . Heart Lung1992; 21: 407–408 .
4.
Lee S et al. Thrombocytopenia in systemic lupus erythematosus associated with cytomegalovirus infection . Scand J Rheumatol1997; 26: 69-69 .
5.
Tan EM et al. The 1982 revised criteria for the classification of systemic lupus erythematosus . Arthritis Rheum1982; 25: 1271–1277 .
6.
Bombardier C et al. Derivation of the SLEDAI: a disease activity index for lupus patients . Arthritis Rheum1992; 35: 630–640 .
7.
Arnold JC et al. Cytomegalovirus-induced severe thrombocytopenia after liver transplantation . Transplantation1993; 56: 1286–1288 .
8.
Mizutani K et al. An infantile case of cytomegalovirus induced idiopathic thrombocytopenia purpura with predominant proliferation of CD10 positive lymphoblast in bone marrow . Acta Paediatri Jpn1995; 37: 71–74 .
9.
Koshino K et al. Detection of antibodies to HIV-1 gp41 and HLA class II antigen-derived peptides in SLE patients . Scand J Rheumatol1995; 24: 288–292 .
10.
Feizi T , Larkin M . AIDS and glycosylation . Glycobiology1990; 1: 17–23 .
11.
Skoskiewicz MJ , Colvin RB , Schneeberger EF , Russell PS . Widespread and selective induction of major histocompatibility complex determined antigens in vivo by gamma interferon . J Exp Med1985; 162: 1645–1664 .
12.
Arnold JC et al. Effect of cytomegalovirus infection on expression of HLA-antigens in liver allografts . Transplant Proc1991; 23: 442–443 .
13.
Sekigawa I et al. HIV infection and SLE: their pathogenic relationship . Clin Exp Rheumatol1998; 16: 175–180 .
14.
Kaneko H et al. Role of tumor necrosis factor (TNF)-a in the induction of HIV-1 gp120-mediated CD4/ T cell anergy . Clin Exp Immunol1997; 109: 41–47 .
15.
Hishikawa T et al. HLA-DP/ T cells and deficient interleukin-2 production in patients with systemic lupus erythematosus . Clin Immunol Immunopathol1990; 55: 285–296 .