Primary cutaneous Epstein-Barr virus-positive diffuse large B-cell lymphoma (DLBCL) in a patient taking fingolimod

A 55-year-old man with relapsing-remitting multiple sclerosis on fingolimod presented to the dermatology clinic with skin lesions on the left temple and cheek. Histopathology showed a diffuse infiltrate of enlarged, atypical lymphocytes throughout the dermis with an overlying grenz zone and a subpopulation of scattered smaller lymphocytes and plasma cells. Epstein-Barr virus-encoded RNA in situ hybridization stain was positive. Based on the morphologic and immunophenotypic findings, a diagnosis of EBV-positive diffuse large B-cell lymphoma was made. This case aims to raise awareness for the dermatologist that patients on fingolimod may be at increased risk of lymphoproliferative disorders

Variable and changing trajectories in youth athlete development: further verification in advocating a long-term inclusive tracking approach.

Athlete development through adolescence can vary greatly because of maturational processes. For example, variation can be observed in anthropometric and fitness measures with later maturing individuals "catching up" their earlier maturing peers at later time points. This study examined a methodological issue concerning how best to assess anthropometric and fitness change (i.e., "across age categories" or "per year") relative to an age and skill-matched population (N = 1,172). Furthermore, it examined changes in anthropometric and fitness characteristics in 3 cases of youth rugby league players (aged 13-15) across a 2-year period. Findings identified the "per year" method as generating less deviated z-scores across anthropometric and fitness measures (e.g., mean change p < 0.001), suggesting less substantial change in case players relative to the population. When applied to additional players, z-score and radar graphs showed developmental variability and longitudinal change. The possibility of a "later maturing player" increasing anthropometric (e.g., height: player 4 = 3.3 cm; player 5 = 13.2 cm; and player 6 = 15.7 cm) and fitness (e.g., 30-m sprint: player 4 = -0.18 s, player 5 = -0.46 s, and player 6 = -0.59 s) characteristics compared with early maturing players was confirmed. Findings affirm the potential for variable and changing trajectories in adolescent athletes. Practical implications advocate a long-term inclusive tracking approach of athletes, the avoidance of (de)selection, and the reduction of a performance emphasis in adolescent stages of sport systems

Experimental warming increases fungal alpha diversity in an oligotrophic maritime Antarctic soil

The climate of maritime Antarctica has altered since the 1950s. However, the effects of increased temperature, precipitation and organic carbon and nitrogen availability on the fungal communities inhabiting the barren and oligotrophic fellfield soils that are widespread across the region are poorly understood. Here, we test how warming with open top chambers (OTCs), irrigation and the organic substrates glucose, glycine and tryptone soy broth (TSB) influence a fungal community inhabiting an oligotrophic maritime Antarctic fellfield soil. In contrast with studies in vegetated soils at lower latitudes, OTCs increased fungal community alpha diversity (Simpson’s index and evenness) by 102–142% in unamended soil after 5 years. Conversely, OTCs had few effects on diversity in substrate-amended soils, with their only main effects, in glycine-amended soils, being attributable to an abundance of Pseudogymnoascus. The substrates reduced alpha and beta diversity metrics by 18–63%, altered community composition and elevated soil fungal DNA concentrations by 1–2 orders of magnitude after 5 years. In glycine-amended soil, OTCs decreased DNA concentrations by 57% and increased the relative abundance of the yeast Vishniacozyma by 45-fold. The relative abundance of the yeast Gelidatrema declined by 78% in chambered soil and increased by 1.9-fold in irrigated soil. Fungal DNA concentrations were also halved by irrigation in TSB-amended soils. In support of regional- and continental-scale studies across climatic gradients, the observations indicate that soil fungal alpha diversity in maritime Antarctica will increase as the region warms, but suggest that the accumulation of organic carbon and nitrogen compounds in fellfield soils arising from expanding plant populations are likely, in time, to attenuate the positive effects of warming on diversity. Antarctica, climate warming, open top chambers (OTCs), organic carbon, organic nitrogen, soil fungal community diversity, yeastspublishedVersio