“…For many pENL, there are distinctive clinicopathological features, sometimes associated with an underlying immunodeficiency syndrome (HIV/AIDS, organ transplant), autoimmune disorders [Sjogren syndrome, systemic lupus erythematosus (SLE), scleroderma, inflammatory bowel disease (IBD), dermatomyositis, Hashimoto thyroiditis, rheumatoid arthritis], infection [Helicobacter pylori, Campylobacter jejuni, Borelia burgdorferi, Chlamydia psittaci, Epstein Barr virus (EBV), Human T-lymphotropic virus1 (HTLV-1), Human herpes virus 8 (HHV-8), and Hepatitis C virus (HCV)] or a predilection to affect patients of certain ethnic origin (Bernatsky et al, 2006;Engels 2007;Ferry, 2008). HCV is considered as a virus with triple tissue tropism (hepatotropism, lymphotropism, and sialotropism) and this may explain the higher prevalence of sicca syndrome, cryoglobulinemia, and lymphoproliferative disorder (MALT lymphoma) in patients with chronic HCV infection (Ramos-Casals and Munoz, 2008).…”