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EBV and post-transplant lymphoproliferative disorder: a complex relationship.
Hematology Am Soc Hematol Educ Program
December 2024
Department of Pediatrics, Division of Hematology and Oncology, Baylor College of Medicine, Houston, TX.
Post-transplant lymphoproliferative disorders (PTLD) are a heterogeneous category of disease entities occurring in the context of iatrogenic immune suppression. Epstein-Barr virus (EBV)-driven B-cell lymphoproliferation represents the prototype of quintessential PTLD, which includes a range of histologies named nondestructive, polymorphic, and monomorphic EBV+ diffuse large B-cell lymphoma (DLBCL) PTLD. While EBV is associated with the majority of PTLD cases, other drivers of lymphoid neoplasia and lymphoma transformation can occur-with or without EBV as a codriver-thus underlining its vast heterogeneity.
View Article and Find Full Text PDFLymphoproliferative Disorder in an Esophageal Cancer Patient Treated with Pembrolizumab.
Intern Med
October 2024
Department of Comprehensive Oncology, Graduate School of Medical Sciences, Kyushu University, Japan.
A 75-year-old man diagnosed with esophageal cancer and lung metastasis received a combination of fluorouracil, cisplatin, and pembrolizumab. During pembrolizumab maintenance therapy, lymphoproliferative lesions at the lips and mouth and multiple lymph node swellings appeared. Histologically, Epstein-Barr virus (EBV)-encoded RNA was positive, and EBV-DNA was detected in the blood.
View Article and Find Full Text PDF[Polymorphic lymphoproliferative disorder, lymphomatoid granulomatosis-type, in a patient with iatrogenic immunosuppression, an unusual entity].
Rev Med Chil
November 2023
Sección Hematología, Unidad de Hematología Clínica, Hospital del Salvador, Chile.
Article Synopsis
- Patients with immunodeficiency are at a higher risk of developing certain cancers, particularly mature lymphoid neoplasms and lymphoproliferative disorders.
- A 50-year-old woman on immunosuppressive therapy for dermatomyositis presented with swollen lacrimal glands, weight loss, and night sweats, leading to an elective biopsy.
- Post-surgery, she experienced acute abdominal issues that revealed multiple organ lesions and ultimately led to a diagnosis of polymorphic B-lymphoproliferative disorder resembling lymphomatoid granulomatosis, a rare condition linked to immunosuppression.
A diagnostic dilemma: distinguishing a sulfasalazine induced DRESS hypersensitivity syndrome from a CD30 + lymphoma in a young patient.
Int J Emerg Med
July 2024
Department of Emergency Medicine, ASZ Aalst, Aalst, Belgium.
Drug reaction with eosinophilia and systemic symptoms (DRESS) is a severe hypersensitivity reaction characterized by cutaneous rash, lymphadenopathy, fever, eosinophilia, leukocytosis, and life-threatening organ dysfunctions. We describe the case of a 26 year old patient admitted to the Emergency Department for DRESS syndrome after sulfasalazine treatment for rheumatoid arthritis in the right knee. Whole body computer tomography showed multiple neck, chest, and abdominal lymphadenopathy with splenomegaly, massive ascites and severe hepatic cytolysis.
View Article and Find Full Text PDFOther iatrogenic immunodeficiency-associated lymphoproliferative disorder presenting with multiple facial tumors.
JAAD Case Rep
July 2024
Department of Pathology, Juntendo University Nerima Hospital, Tokyo, Japan.
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