Table.
Ramos et al5 | Sato et al6 | Hong et al7 | Itoh et al4 | Present case | |
---|---|---|---|---|---|
Age at LPD diagnosis/sex | 23 months/female | 7 months/male | 14 years/female | 25 years/male | 15 years/female |
Cytogenetics | Not done | Not done | Equivocal chromosome 22q11.2 deletion (method not specified) | Hemizygous chromosome 22q11.2 deletion (FISH) | Hemizygous chromosome 22q11.2 deletion (FISH) |
DiGeorge syndrome features | Thymic and parathyroid aplasia; no cardiac anormaly | Dysmorphic face, hypothyroidism, TOF, thymic and parathyroid aplasia | TOF, undetectable parathyroid hormone, thymic hypoplasia | Dysmorphic face, TOF, major aortopulmonary collateral artery, VSD, markedly hypoplastic thymus and parathyroid glands | Dysmorphic face, hypoparathyroidism, VSD, PDA, right-sided aortic arch |
Evidence of immunodeficiency | Low peripheral T-cell counts, several episodes of thrush and otitis media | Low peripheral T-cell counts, hypogammaglobulinemia | Low peripheral T-cell counts, recurrent otitis media and sinopulmonary infection (led to bronchiectasis) | Recurrent fever and diarrhea for several months | Low peripheral CD4+ T-cell counts, recurrent sinusitis and pneumonia, hypogammaglobulinemia |
Autoimmune phenomenon | Not mentioned | Not mentioned | Not mentioned | Not mentioned | Evans syndrome |
Major complications | Not mentioned | Not mentioned | None | Hemophagocytic syndrome, DIC, multiorgan failure | None |
Nature of LPD | EBV+ DLBCL involving mediastinal lymph nodes, brain, liver, and kidneys | EBV+ DLBCL involving mediastinal and mesenteric lymph nodes, lung, trachea, larynx, small intestine, and liver | EBV+ DLBCL manifested with generalized lymphadenopathy | EBV+ peripheral T-cell lymphoma (CD3+, CD5+, CD8+, CD56−, TIA1+), involving mediastinal, para-aortic, and inguinal lymph nodes | MALT lymphoma (EBV−) involving lungs and presumptive cervical, axillary, mediastinal, abdominal, and pelvic lymph nodes (no pretreatment lymph node biopsy results to document lymphoma) |
Therapy for LPD | Refused therapy for malignancy | Not mentioned | Chemotherapy (modified French LMB 89), thymus transplantation at 8 months after complete course of chemotherapy, autologous anti-EBV cytotoxic T-cell infusion (for relapsed disease) | None | Immunochemotherapy (6 cycles of R-CHOP) |
Outcome* | Died 1 month after diagnosis of LPD | Died 1 month after diagnosis of LPD | Relapsed 16 months after thymus transplantation but later achieved remission for at least 29 months | Died at 12 hours after admission | In complete remission at least 22 months after diagnosis of LPD, lymph node biopsy at 17 months showed only granulomas. |
DIC, disseminated intravascular coagulation; DLBCL, diffuse large B-cell lymphoma; FISH, fluorescence in situ hybridization; PDA, patent ductus arteriosus; TOF, tetralogy of Fallot; VSD, ventricular septal defect.
All patients who died underwent autopsy.