Unique association of Waldenström macroglobulinemia with optic neuritis and monoclonal T cell expansion.

Abstract:

:Waldenström macroglobulinemia is a lymphoplasmacytic lymphoma characterized by production of the immunoglobulin M (IgM) monoclonal protein. Commonly involved sites are the bone marrow, lymph nodes, and spleen. Lymphoplasmacytic infiltration of the central nervous system (CNS), in contrast, is referred to as Bing-Neel syndrome, and is an extremely rare phenomenon. Here, we present a unique case of Waldenström macroglobulinemia with optic neuritis accompanied by monoclonal expansion of T cells, which recovered after administration of CNS-targeting chemotherapy. Although the underlying causal relationships in this case remain obscure, aberrantly expanded T cells may have contributed to the development of optic neuritis, and we should be reminded that some types of cranial neuropathy in Waldenström macroglobulinemia may be reversible.

journal_name

Int J Hematol

authors

Morita K,Yoshimi A,Masuda A,Ichikawa M,Yatomi Y,Kurokawa M

doi

10.1007/s12185-013-1372-2

subject

Has Abstract

pub_date

2013-08-01 00:00:00

pages

247-9

issue

2

eissn

0925-5710

issn

1865-3774

journal_volume

98

pub_type

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