EBV lymphoproliferative disease of host origin after haploidentical stem cell transplantation.

Abstract:

:Post-transplant lymphoproliferative disease (PTLPD), due to the reactivation of Epstein-Barr virus (EBV), is a serious complication. The risk of the disorder increases with T-cell depletion methods, mismatched hematopoietic stem cell transplantation (HSCT), graft-versus-host disease (GVHD), and immunosuppression. In contrast to solid organ transplantation, where EBV is typically of recipient origin, the source of the EBV in HSCT recipients is donor-derived B-lymphocytes. In this report, we describe a 15-year-old girl who underwent HSCT from her father as treatment for acute myeloid leukemia (AML). She subsequently developed disseminated PTLPD involving multiple organ and nodal sites. Her neoplastic lymphoblasts were host-derived and refractory to rituximab treatment due to lack of CD20 expression.

journal_name

Pediatr Blood Cancer

journal_title

Pediatric blood & cancer

authors

Kasow KA,Leung W,Horwitz EM,Woodard P,Handgretinger R,Hale GA

doi

10.1002/pbc.20710

keywords:

subject

Has Abstract

pub_date

2007-11-01 00:00:00

pages

869-72

issue

6

eissn

1545-5009

issn

1545-5017

journal_volume

49

pub_type

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