Hepatosplenic T-cell lymphoma in adolescents and young adults with Crohn's disease: A cautionary tale?

被引:178
作者
Rosh, Joel R. [1 ]
Gross, Thomas
Mamulo, Petar
Griffiths, Anne
Hyams, Jeffrey
机构
[1] Goryeb Childrens Hosp Atlantic Hlth, Morristown, NJ 07962 USA
[2] Columbus Childrens Hosp, Columbus, OH USA
[3] Childrens Hosp Philadelphia, Philadelphia, PA 19104 USA
[4] Toronto Sick Childrens Hosp, Toronto, ON, Canada
[5] Connecticut Childrens Med Ctr, Hartford, CT USA
关键词
infliximab; lymphoma; thiopurines; Crohn's disease; pediatrics;
D O I
10.1002/ibd.20169
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Therapy for the inflammatory bowel diseases increasingly includes the use of immune-modifying and biologic therapies. Recently, in young patients with IBD, an association has been noted between the use of infliximab along with concomitant purine analogues and the development of hepatosplenic T-cell lymphoma (HSTCL)-a rare and all but incurable form of non-Hodgkin's lymphoma. This report briefly reviews the issue of lymphoma and IBD therapy. Additionally, a description of HSTCL and a summary of the known cases of this apparent therapeutic complication are presented. Clinical options in light of this new information are explored.
引用
收藏
页码:1024 / 1030
页数:7
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