Yamada Toshiki, Nannya Yasuhito, Suetsugu Atsushi, Shimizu Shogo, Sugihara Junichi, Shimizu Masahito, Seishima Mitsuru, Tsurumi Hisashi
Department of Hematology, Gifu Prefectural Medical Center, Japan.
Intern Med. 2017;56(1):115-118. doi: 10.2169/internalmedicine.56.7468. Epub 2017 Jan 1.
Reactivation of hepatitis B virus (HBV) is a serious complication of immunosuppressive therapy and cytotoxic chemotherapy. The optimal duration of HBV-DNA monitoring for at-risk patients depends on the clinical features of reactivation, especially the range of potency from therapies to reactivation. We present a case of very late reactivation after chemotherapy for lymphoma and review previous reports of late reactivation cases. We also underscore the significance of developing an indicator for anti-HBV immunity which can be used to determine the optimal monitoring period.
乙型肝炎病毒(HBV)再激活是免疫抑制治疗和细胞毒性化疗的严重并发症。对有风险患者进行HBV-DNA监测的最佳持续时间取决于再激活的临床特征,尤其是从治疗到再激活的效力范围。我们报告一例淋巴瘤化疗后非常晚发生的再激活病例,并回顾既往关于晚发性再激活病例的报告。我们还强调开发一种抗HBV免疫指标的重要性,该指标可用于确定最佳监测期。