Abstract:
:Diffuse large B cell lymphoma, T-cell-rich/histiocyte-rich variant (DLBL-TH), is characterized by the presence of neoplastic B cells set in a background containing numerous non-neoplastic T lymphocytes and histiocytes. We report here the case of a patient with DLBL-TH who developed overt pure red cell aplasia (PRCA) following chemotherapy and autologous peripheral blood stem cell transplantation. Posttransplantation bone marrow biopsies revealed the absence of erythroid precursors associated with lymphoid aggregates composed of B cells mixed with numerous T cells and histiocytes. Administration of rituximab has led to complete recovery of erythropoiesis, which was associated not only with B cell depletion but also with a marked reduction in bone marrow T cells and histiocytes. These observations strongly suggest the particular pathogenetic role of the patient's B cells in inducing PRCA and recruiting T cells and histiocytes in situ.
journal_name
Acta Haematoljournal_title
Acta haematologicaauthors
Oyaizu N,Kozai Y,Kodo H,Sunaga S,Iwabuchi K,Higashihara M,Mori Sdoi
10.1159/000084450subject
Has Abstractpub_date
2005-01-01 00:00:00pages
194-7issue
3eissn
0001-5792issn
1421-9662pii
84450journal_volume
113pub_type
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