Table.
Previous Case Reports of Lymphoproliferative Disorders Following Immunosuppressive Treatment for Aplastic Anemia.
Age/sex | Dose and a type of ATG treatment | Time to appearance of initial symptoms of EBV-LPD following ATG | Time to diagnosis | Diagnosis | Peak EBV-viral loads | Treatment for LPD | Outcome | References |
---|---|---|---|---|---|---|---|---|
36/M | 0.75 mg/kg/d 9 days | 9 days | EBV-LPDs | Died | [13] | |||
42/F | Rabbit, 12.5 mg/kg/d | 2 weeks | 2 weeks | DLBCL | 4 × 106 copies/mL | Rituximab, CPM | CR | [14] |
54/M | Rabbit, 3.75 mg/kg/d 5 days | 26 days | 26 days | EBV-LPDs | 3.3 × 106 copies/106 WBC | Died | [15] | |
38/M | 1st: Rabbit, 3.5 mg/kg/d for 5 days 2nd: Horse 3.5 mg/kg/d for 1 day | 19 days | 24 days | Infectious mononucleosis | 30,000/150,000 cells | Cessation of CsA, Rituximab | CR | [16] |
55/M | Horse | Less than a month | 7 days after the appearance of initial symptoms | Diffuse atypical/clonal plasma cell hyperplasia | 60,060 copies/mL | Rituximab | CR | [17] |
55/M | Rabbit, 3.75 mg/kg/d for 5 days | About 3 months | 84 days | Atypical lymphocytes proliferation | 140 copies/106 WBC | Cessation of CsA | CR | [18] |
46/F | Rabbit, 3.75 mg/kg/d for 5 days | 26 days | 33 days | EBV-LPDs | 7.9 × 106 copies/mL | Cessation of CsA | CR | [19] |
81/M | Rabbit, 3.3 mg/kg/d for 5 days | 31 days | 34 days | EBV-LPDs | 4 × 106 copies/mL | Cessation of CsA, rituximab | Died | [20] |
69/W | Rabbit | About 30 days | 54 days | EBV-LPDs | 3 × 105 copies/mL | Died | [21] | |
26/M | Rabbit, 3.75 mg/kg/d for 5 days | 2 months | EBV-LPDs | 120 copies/mL | Reduction of CsA, rituximab | CR | [22] | |
55/F | Rabbit, 3.75 mg/kg/d 5 days | 28 days | 36 days | EBV-LPDs | 1.1 × 106 copies/106 cells | Cessation of CsA, rituximab | CR | Our case |
F: female, M: male, mg/kg/d: mg/kg/day, ATG: antithymocyte globulin, EBV: Epstein - Barr virus, EBV-LPD: EBV-associated lymphoproliferative disorder, IM: infectious mononucleosis, DLBCL: diffuse large B cell lymphoma, CsA: cyclosporin A, CPM: cyclophosphamide, CR: complete response
Time to diagnosis indicates the duration from Day 1 on recent immunosuppression therapy to the appearance of the first symptom of LPD.