Three Rwandan Children With Massive Splenomegaly and Epstein-Barr Virus-associated Lymphoproliferative Disorders: Case Presentations and the Literature Review

被引:3
作者
Friedman-Klabanoff, DeAnna [1 ]
Ball, Allison [2 ]
Rutare, Samuel [3 ]
McCall, Natalie [4 ]
Blackall, Douglas P. [5 ,6 ]
机构
[1] Duke Univ, Dept Pediat, Sch Med, Durham, NC 27706 USA
[2] Dartmouth Coll, Dept Pediat, Geisel Sch Med, Hanover, NH 03755 USA
[3] Kigali Univ Teaching Hosp, Dept Pediat, Kigali, Rwanda
[4] Yale Univ, Sch Med, Dept Pediat, New Haven, CT 06510 USA
[5] Brigham & Womens Hosp, Dept Pathol, 75 Francis St, Boston, MA 02115 USA
[6] Harvard Med Sch, Boston, MA USA
关键词
Epstein-Barr virus; lymphoproliferative disorder; pancytopenia; splenectomy; splenomegaly; ENDEMIC BURKITT-LYMPHOMA; NONIMMUNOCOMPROMISED HOSTS; MALNUTRITION; INFECTION; MALARIA;
D O I
10.1097/MPH.0000000000000561
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
This report describes 3 Rwandan children with massive splenomegaly and pancytopenia who underwent splenectomy. Each was diagnosed with Epstein-Barr virus-associated lymphoproliferative disorder (EBV LPD) based on lymphocyte morphology, lymphocyte immunophenotype, and the results of EBV in situ hybridization studies. The differential diagnosis of splenomegaly, with a special emphasis on the sub-Saharan African context, is discussed along with EBV and associated disorders. These cases serve as a call to consider EBV LPD in the differential diagnosis of splenomegaly in children in whom common causes have been ruled out.
引用
收藏
页码:E158 / E161
页数:4
相关论文
共 19 条
  • [1] [Anonymous], 2013, Principles of medicine in Africa
  • [2] [Anonymous], 2014, ROBBINS COTRAN PATHO
  • [3] Epstein-Barr virus-positive T/NK-cell lymphoproliferative disorders
    Cai, Qingqing
    Chen, Kailin
    Young, Ken H.
    [J]. EXPERIMENTAL AND MOLECULAR MEDICINE, 2015, 47 : e133 - e133
  • [4] Epstein-Barr virus-associated lymphoproliferative disease in non-immunocompromised hosts: a status report and summary of an international meeting, 8-9 September 2008
    Cohen, J. I.
    Kimura, H.
    Nakamura, S.
    Ko, Y. -H.
    Jaffe, E. S.
    [J]. ANNALS OF ONCOLOGY, 2009, 20 (09) : 1472 - 1482
  • [5] Eddleston M., 2011, OXFORD HDB TROPICAL
  • [6] Gill G., 2009, LECT NOTES TROPICAL
  • [7] International Agency for Research of Cancer, 1997, IARC MON EV CARC RIS
  • [8] Kimura H, 2013, NAGOYA J MED SCI, V75, P169
  • [9] EBV-associated T/NK-cell lymphoproliferative diseases in nonimmunocompromised hosts: prospective analysis of 108 cases
    Kimura, Hiroshi
    Ito, Yoshinori
    Kawabe, Shinji
    Gotoh, Kensei
    Takahashi, Yoshiyuki
    Kojima, Seiji
    Naoe, Tomoki
    Esaki, Shinichi
    Kikuta, Atsushi
    Sawada, Akihisa
    Kawa, Keisei
    Ohshima, Koichi
    Nakamura, Shigeo
    [J]. BLOOD, 2012, 119 (03) : 673 - 686
  • [10] Leach CT, 2014, FEIGIN CHERRYS TXB P, P1992