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肝移植后发生的爱泼斯坦-巴尔病毒相关外周T细胞淋巴瘤和噬血细胞综合征:病例报告及文献复习

Epstein-Barr virus-associated peripheral T-cell lymphoma and hemophagocytic syndrome arising after liver transplantation: case report and review of the literature.

作者信息

George Tracy I, Jeng Michael, Berquist William, Cherry Athena M, Link Michael P, Arber Daniel A

机构信息

Department of Pathology, Stanford University School of Medicine, Stanford, California, USA.

出版信息

Pediatr Blood Cancer. 2005 Mar;44(3):270-6. doi: 10.1002/pbc.20231.

DOI:10.1002/pbc.20231
PMID:15468305
Abstract

Post-transplantation lymphoproliferative disorders (PTLD) are a well-recognized complication of solid organ transplantation. The vast majority of PTLD are Epstein-Barr virus (EBV)-related infections that manifest as B-cell malignancies. We report an unusual case of an EBV-associated T-cell lymphoma in a 10-year-old boy who had previously undergone liver transplantation at age 4 years. He presented with hemophagocytic syndrome (HPS) and active EBV infection, with positive serum titers and polymerase chain reaction (PCR) for EBV in blood, colon, and antral samples.

摘要

移植后淋巴组织增生性疾病(PTLD)是实体器官移植中一种公认的并发症。绝大多数PTLD是与EB病毒(EBV)相关的感染,表现为B细胞恶性肿瘤。我们报告了一例罕见的EBV相关T细胞淋巴瘤病例,患者为一名10岁男孩,曾在4岁时接受过肝移植。他表现为噬血细胞综合征(HPS)和活动性EBV感染,血液、结肠和胃窦样本中的EBV血清滴度和聚合酶链反应(PCR)均为阳性。

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