Liver fibrosis with hypereosinophilia causing transient abnormal myelopoiesis

被引:7
作者
Minakata, Shunsuke [1 ]
Sakata, Naoki [1 ]
Wada, Norihisa [1 ]
Konishi, Yuhei [1 ]
Marutani, Satoshi [1 ]
Enya, Takuji [1 ]
Nakagawa, Hidenori [2 ]
Wada, Hiroshi [2 ]
Takemura, Tsukasa [1 ]
机构
[1] Kindai Univ, Dept Pediat, Fac Med, Osaka, Japan
[2] Yodogawa Christians Hosp, Dept Pediat, Osaka, Japan
关键词
eosinophilia; liver fibrosis; low-dose cytosine arabinoside; transient abnormal myelopoiesis; DOWN-SYNDROME; ONCOLOGY-GROUP; LEUKEMIA;
D O I
10.1111/ped.13093
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Transient abnormal myelopoesis is mostly self-resolving and has a good prognosis, but some patients subsequently die of liver fibrosis. We report the case of an infant with Down syndrome who developed life-threatening liver fibrosis at the same time as the blasts were about to disappear. This patient also had a marked increase in eosinophils, which were possibly harboring a GATA1 mutation and were expressing a high level of platelet-derived growth factor-B mRNA; these may have been involved in the development of liver fibrosis. Low-dose cytosine arabinoside therapy effectively treated both hypereosinophilia and liver fibrosis.
引用
收藏
页码:1222 / 1225
页数:4
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