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. Author manuscript; available in PMC: 2013 Nov 1.
Published in final edited form as: J Pediatr. 2012 Aug 21;161(5):954–958. doi: 10.1016/j.jpeds.2012.07.003

Table.

Reported patients with DiGeorge syndrome and an LPD

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.