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. 2017 Mar 15;56(6):701–706. doi: 10.2169/internalmedicine.56.7722

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.

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