Colonic EBV-Associated Lymphoproliferative Disorder in a Patient Treated with Rabbit Antithymocyte Globulin for Aplastic Anemia
Joint Authors
Kawasugi, Kazuo
Arai, Tomio
Shirasaki, Ryosuke
Oka, Yoko
Shirafuji, Naoki
Tashiro, Haruko
Yamamoto, Tadashi
Akiyama, Nobu
Sugimoto-Sekiguchi, Hiroko
Source
Case Reports in Gastrointestinal Medicine
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-09-23
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Epstein-Barr-virus- (EBV-) associated lymphoproliferative disorder (LPD) after immunosuppressive therapy for aplastic anemia (AA), in a nontransplant setting, has not been well described.
We report one case of colonic EBV-LPD after a single course of immunosuppressive therapy for AA.
The patient developed multiple colonic tumors 3 months after receiving immunosuppressive therapy, which consisted of rabbit antithymocyte globulin (ATG), cyclosporine, and methyl-predonisolone.
The histological findings of biopsy specimens revealed that atypical lymphocytes had infiltrated colonic glands.
Immunohistochemical staining for CD20 was positive, and in situ hybridization for EBV-encoded small RNAs was also positive.
The EBV viral load in peripheral blood was slightly increased to 140/106 white blood cells.
After the cessation of immunosuppressant, the colonic tumors spontaneously regressed, and the EBV viral load decreased to undetectable levels.
This is the first report of the single use of rabbit ATG inducing colonic EBV-LPD.
Because a single use of immunosuppressive therapy containing rabbit ATG can cause EBV-LPD, we should carefully observe patients receiving rabbit ATG for AA.
American Psychological Association (APA)
Sugimoto-Sekiguchi, Hiroko& Tashiro, Haruko& Shirasaki, Ryosuke& Arai, Tomio& Yamamoto, Tadashi& Oka, Yoko…[et al.]. 2012. Colonic EBV-Associated Lymphoproliferative Disorder in a Patient Treated with Rabbit Antithymocyte Globulin for Aplastic Anemia. Case Reports in Gastrointestinal Medicine،Vol. 2012, no. 2012, pp.1-6.
https://search.emarefa.net/detail/BIM-468790
Modern Language Association (MLA)
Sugimoto-Sekiguchi, Hiroko…[et al.]. Colonic EBV-Associated Lymphoproliferative Disorder in a Patient Treated with Rabbit Antithymocyte Globulin for Aplastic Anemia. Case Reports in Gastrointestinal Medicine No. 2012 (2012), pp.1-6.
https://search.emarefa.net/detail/BIM-468790
American Medical Association (AMA)
Sugimoto-Sekiguchi, Hiroko& Tashiro, Haruko& Shirasaki, Ryosuke& Arai, Tomio& Yamamoto, Tadashi& Oka, Yoko…[et al.]. Colonic EBV-Associated Lymphoproliferative Disorder in a Patient Treated with Rabbit Antithymocyte Globulin for Aplastic Anemia. Case Reports in Gastrointestinal Medicine. 2012. Vol. 2012, no. 2012, pp.1-6.
https://search.emarefa.net/detail/BIM-468790
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-468790