CD3-NEGATIVE LYMPHOPROLIFERATIVE DISEASE OF GRANULAR LYMPHOCYTES IN A GIRL WITH AN UNUSUAL PATTERN OF ANTI-EPSTEIN-BARR VIRUS-ANTIBODIES

被引:7
作者
FUKUNAGA, Y [1 ]
ASANO, T [1 ]
TAKEHANA, J [1 ]
AMBO, K [1 ]
MATSUOKA, K [1 ]
YAMAMOTO, M [1 ]
机构
[1] UNIV TEXAS,MD ANDERSON CANC CTR,DEPT CELL BIOL,HOUSTON,TX 77030
关键词
GRANULAR LYMPHOCYTE; LYMPHOPROLIFERATIVE DISEASE OF GRANULAR LYMPHOCYTES; EPSTEIN-BARR VIRUS (EBV) GENOME; SEVERE CHRONIC ACTIVE EBV INFECTION SYNDROME;
D O I
10.1007/BF01954741
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
We describe an 11-year-old girl who initially had mild hepatosplenomegaly and then presented with abnormal expansion of CD3-negative 'granular lymphocytes in peripheral blood and Epstein-Barr virus (EBV) genome in the DNA obtained from the peripheral blood mononuclear cells (PBMNC). After approximately 3 years, she developed oedema, ascites, marked hepatosplenomegaly, and pancytopenia, and showed both a profile of anti-EBV antibodies of reactivated infection and a high titre of anti-cytomegalovirus antibody. Although she was treated with antibiotics, ganciclovir, and prednisolone, she died of hepatic failure. Conclusion Careful clinical observation, periodic examination of anti-EBV antibodies, and the analysis of EBV genome from PBMNC are needed in young patients with CD3-negative lymphoproliferative disease of granular lymphocytes.
引用
收藏
页码:894 / 897
页数:4
相关论文
共 13 条
[1]   MALIGNANT ANTIGRANULOCYTES LYMPHOPROLIFERATION AFTER EPSTEIN-BARR VIRUS-INFECTION - PARTIAL IMMUNOLOGICAL RECONSTITUTION WITH INTERLEUKIN-2 [J].
ARONSON, FR ;
DEMPSEY, RA ;
ALLEGRETTA, M ;
ANDRESCHWARTZ, J ;
POLDRE, PA ;
HILLYER, CD ;
PARKINSON, DR ;
RUDDERS, RA ;
SCHWARTZ, RS ;
MIER, JW .
AMERICAN JOURNAL OF HEMATOLOGY, 1987, 25 (04) :427-439
[2]  
HARA J, 1990, LEUKEMIA, V4, P580
[3]   CD3-NEGATIVE LYMPHOPROLIFERATIVE DISEASE OF GRANULAR LYMPHOCYTES CONTAINING EPSTEIN-BARR VIRAL-DNA [J].
KAWAHA, K ;
ISHIHARA, S ;
NINOMIYA, T ;
YUMURAYAGI, K ;
HARA, J ;
MURAYAMA, F ;
TAWA, A ;
HIRAI, K .
JOURNAL OF CLINICAL INVESTIGATION, 1989, 84 (01) :51-55
[4]  
KAWAHA K, 1990, EPSTEIN BARR VIRUS H, P283
[5]  
OHNO Y, 1989, CANCER, V64, P63, DOI 10.1002/1097-0142(19890701)64:1<63::AID-CNCR2820640111>3.0.CO
[6]  
2-#
[7]   SEVERE CHRONIC ACTIVE EPSTEIN-BARR-VIRUS INFECTION SYNDROME [J].
OKANO, M ;
MATSUMOTO, S ;
OSATO, T ;
SAKIYAMA, Y ;
THIELE, GM ;
PURTILO, DT .
CLINICAL MICROBIOLOGY REVIEWS, 1991, 4 (01) :129-135
[8]  
OSHIMI K, 1988, LEUKEMIA, V2, P617
[9]  
OSHIMI K, 1993, LEUKEMIA, V7, P782
[10]  
PANDOLFI F, 1990, CANCER, V65, P341, DOI 10.1002/1097-0142(19900115)65:2<341::AID-CNCR2820650227>3.0.CO