Rituximab as potential therapy for paraneoplastic cerebellar degeneration in pediatric Hodgkin disease

被引:9
作者
Yeo, Kee Kiat [1 ]
Walter, Andrew W. [1 ,2 ]
Miller, Robin E. [1 ,2 ]
Dalmau, Josep [3 ]
机构
[1] Thomas Jefferson Univ, Jefferson Med Coll, Philadelphia, PA 19107 USA
[2] Nemours Alfred I duPont Hosp Children, Dept Pediat, Div Pediat Hematol Oncol, Wilmington, DE USA
[3] Hosp Univ Penn, Dept Neurol, Philadelphia, PA 19104 USA
关键词
Hodgkin; paraneoplastic cerebellar degeneration; rituximab; NEUROLOGICAL SYNDROMES; CHILD;
D O I
10.1002/pbc.23314
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Paraneoplastic cerebellar degeneration (PCD) is a rare neurological syndrome associated with lung cancer, breast adenocarcinoma, ovarian adenocarcinoma, and Hodgkin disease. It is rarely seen in pediatrics. We report a case of a 10-year-old boy with a 2-year prodrome that led to a diagnosis of PCD in association with stage IV Hodgkin disease. He received radiation and chemotherapy for his Hodgkin disease with resolution of his lymphoma. Based on promising data in adults on the efficacy of rituximab over other immunosuppressive agents in paraneoplastic disorders, he was treated with rituximab with marked improvement of the cerebellar syndrome. Pediatr Blood Cancer 2012; 58: 986987. (C) 2011 Wiley Periodicals, Inc.
引用
收藏
页码:986 / 987
页数:2
相关论文
共 13 条
[1]   Anti-Tr antibodies as markers of paraneoplastic cerebellar degeneration and Hodgkin's disease [J].
Bernal, F ;
Shams'ili, S ;
Rojas, I ;
Sanchez-Valle, R ;
Saiz, A ;
Dalmau, J ;
Honnorat, J ;
Smitt, PS ;
Graus, F .
NEUROLOGY, 2003, 60 (02) :230-234
[2]   Paraneoplastic Neurological Syndromes: Unusual Presentations of Cancer. A Practical Review [J].
Braik, Tareq ;
Evans, Arthur T. ;
Telfer, Margaret ;
McDunn, Susan .
AMERICAN JOURNAL OF THE MEDICAL SCIENCES, 2010, 340 (04) :301-308
[3]   Spectrum of paraneoplastic disease associated with lymphoma [J].
Briani, C. ;
Vitaliani, R. ;
Grisold, W. ;
Honnorat, J. ;
Graus, F. ;
Antoine, J. C. ;
Bertolini, G. ;
Giometto, B. .
NEUROLOGY, 2011, 76 (08) :705-710
[4]   Paraneoplastic syndromes of the CNS [J].
Dalmau, Josep ;
Rosenfeld, Myrna R. .
LANCET NEUROLOGY, 2008, 7 (04) :327-340
[5]   Paraneoplastic cerebellar degeneration and Horner syndrome:: Association of two uncommon findings in a child with Hodgkin disease [J].
Emir, S ;
Kutluk, MT ;
Gögüs, S ;
Büyükpamukçu, M .
JOURNAL OF PEDIATRIC HEMATOLOGY ONCOLOGY, 2000, 22 (02) :158-161
[6]   Successful treatment of paraneoplastic cerebellar degeneration with Rituximab [J].
Esposito, Marcello ;
Penza, P. ;
Orefice, G. ;
Pagano, A. ;
Parente, E. ;
Abbadessa, A. ;
Bonavita, V. .
JOURNAL OF NEURO-ONCOLOGY, 2008, 86 (03) :363-364
[7]  
Graus F, 2007, CURR OPIN NEUROL, V20, P732
[8]  
Grimm Sean, 2011, Adv Hematol, V2011, P624578, DOI 10.1155/2011/624578
[9]   Paraneoplastic cerebellar degeneration in pediatric Hodgkin disease [J].
Hahn, A ;
Claviez, A ;
Brinkmann, G ;
Altermatt, HJ ;
Schneppenheim, R ;
Stephani, U .
NEUROPEDIATRICS, 2000, 31 (01) :42-44
[10]  
HENSON RA, 1982, CANCER NERVOUS SYSTE, P346