Table 2.
Case No. | Age/ Sex | Ethnicity | Clinical presentation | Fever | Night sweats | Splenomegaly | Lymphadenopathy | Cytopenias | Therapy | Outcome | Duration disease/ follow-up |
---|---|---|---|---|---|---|---|---|---|---|---|
1 | 22/F | White | Acute onset, skin rash, edema, ascites, hepatomegaly, jaundice, abnormal hepatic & kidney function, coagulopathy, high LDH | − | + | + | abdomen, chest | thrombocytopenia | CHOP, EPOCH, Campath + Cytosine arabinoside | DoD | 8 wks |
2 | 73/M | White | Fever and weakness, focal liver abnormalities | + | − | − | − | pancytopenia | N/A | DoD | 7 wks |
3 | 52/M | Asian | 3–4 wk history of abdominal distension, chills, weakness, ascites, pleural effusion, hypoxemia, abnormal liver function | + | + | + | mediastinum | − | 1xCHOP | DoD | 8 wks |
4 | 83/F | White | 4 week history of fever, episodic confusion | + | − | − | − | pancytopenia | 1xCHOP | DoD | 8 wks |
5 | 64/M | White | Acute onset, nausea, vomiting, diarrhea | + | + | + | diffuse | pancytopenia | 6xSMILE, allogeneic MUD BMT | Alive, no disease | 15 months (8 months after transplant) |
6 | 63/M | Black | Acute onset, chest pain, skin plaques/nodules, edema, sinus changes, pericardium, pancreas, gastric wall. 1 yr history of lower extremity ulcers, Hep C, IVDA, CKD. | + | + | − | diffuse | anemia | Palliative Care | DoD | 8 wks |
7 | 60/M | White | Acute onset, skin rash/patches/plaques/nodules, edema, ascites, fever, chills, night sweats, weakness, weight loss, hepatomegaly, high LDH, abnormal kidney function | + | + | + | − | pancytopenia | 2xHyper- CVAD, Bortezomib, intrathecal CHT | DoD | 7 mo |
Abbreviations: LPL - lymphoplasmacytic lymphoma, IVDA - intravenous drug abuse, Hep - hepatitis C, CKD – chronic kidney disease
CHT, chemotherapy, CHOP - cyclophosphamide, adriamycin, vincristine, prednisone
CVAD - cyclophosphamide, vincristine, doxorubicin, dexamethasone
EPOCH - etoposide, prednisolone, vincristine, cyclophosphamide, doxorubicin
SMILE - dexamethasone, methotrexate, ifosfamide, L-asparaginase, etoposide
UD BMT - matched unrelated donor bone marrow transplant
DoD - died of disease; wks - weeks; yrs -years, M - male; F - female