Central Nervous System Involvement of Epstein Barr Virus Associated Lymphoproliferative Disorder in a Child with Acute Lymphoblastic Leukemia: Successful Treatment with Rituximab and Interferon-Alpha

Central nervous system (CNS) involvement of Epstein-Barr virus (EBV)-associated lymphoproliferative disease is a rare and serious complication in children with leukemia. Although rituximab therapy seems to be promising in these cases, persistent hypogammaglobulinemia may appear after treatment due t...

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Main Authors: Berna Atabay, Meral Türker, Can Öztürk, Sümer Sütçüoğlu, Haldun Öniz, Esra Arun Özer
Format: Article
Language:English
Published: Galenos Publishing House 2013-03-01
Series:Turkish Journal of Hematology
Subjects:
Online Access:https://jag.journalagent.com/z4/download_fulltext.asp?pdir=tjh&un=TJH-43926
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author Berna Atabay
Meral Türker
Can Öztürk
Sümer Sütçüoğlu
Haldun Öniz
Esra Arun Özer
author_facet Berna Atabay
Meral Türker
Can Öztürk
Sümer Sütçüoğlu
Haldun Öniz
Esra Arun Özer
author_sort Berna Atabay
collection DOAJ
description Central nervous system (CNS) involvement of Epstein-Barr virus (EBV)-associated lymphoproliferative disease is a rare and serious complication in children with leukemia. Although rituximab therapy seems to be promising in these cases, persistent hypogammaglobulinemia may appear after treatment due to complete depletion of normal B lymphocytes in the peripheral blood. Here we report isolated CNS involvement of EBV-associated lymphoproliferative disorder in a 4-year-old boy with acute leukemia. The patient was treated with rituximab and interferon alpha; however, persistent hypogammaglobulinemia developed as a complication. Given the rarity of the complication in children receiving these agents, our experience with such a case may be helpful to others.
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spelling doaj.art-eaa26bb31f344a8b9c967762e0eb5b022023-02-15T16:16:48ZengGalenos Publishing HouseTurkish Journal of Hematology1308-52632013-03-01301586210.4274/tjh.2011.0047TJH-43926Central Nervous System Involvement of Epstein Barr Virus Associated Lymphoproliferative Disorder in a Child with Acute Lymphoblastic Leukemia: Successful Treatment with Rituximab and Interferon-AlphaBerna Atabay0Meral Türker1Can Öztürk2Sümer Sütçüoğlu3Haldun Öniz4Esra Arun Özer5Tepecik Training And Research Hospital, Department Of Pediatrics Clinic, İzmir, TurkeyTepecik Training And Research Hospital, Department Of Pediatrics Clinic, İzmir, TurkeyTepecik Training And Research Hospital, Department Of Pediatrics Clinic, İzmir, TurkeyTepecik Training And Research Hospital, Department Of Pediatrics Clinic, İzmir, TurkeyTepecik Training And Research Hospital, Department Of Pediatrics Clinic, İzmir, TurkeyTepecik Training And Research Hospital, Department Of Pediatrics Clinic, İzmir, TurkeyCentral nervous system (CNS) involvement of Epstein-Barr virus (EBV)-associated lymphoproliferative disease is a rare and serious complication in children with leukemia. Although rituximab therapy seems to be promising in these cases, persistent hypogammaglobulinemia may appear after treatment due to complete depletion of normal B lymphocytes in the peripheral blood. Here we report isolated CNS involvement of EBV-associated lymphoproliferative disorder in a 4-year-old boy with acute leukemia. The patient was treated with rituximab and interferon alpha; however, persistent hypogammaglobulinemia developed as a complication. Given the rarity of the complication in children receiving these agents, our experience with such a case may be helpful to others.https://jag.journalagent.com/z4/download_fulltext.asp?pdir=tjh&un=TJH-43926epstein-barr viruslymphoproliferative disorderrituximabchildrenleukemia
spellingShingle Berna Atabay
Meral Türker
Can Öztürk
Sümer Sütçüoğlu
Haldun Öniz
Esra Arun Özer
Central Nervous System Involvement of Epstein Barr Virus Associated Lymphoproliferative Disorder in a Child with Acute Lymphoblastic Leukemia: Successful Treatment with Rituximab and Interferon-Alpha
Turkish Journal of Hematology
epstein-barr virus
lymphoproliferative disorder
rituximab
children
leukemia
title Central Nervous System Involvement of Epstein Barr Virus Associated Lymphoproliferative Disorder in a Child with Acute Lymphoblastic Leukemia: Successful Treatment with Rituximab and Interferon-Alpha
title_full Central Nervous System Involvement of Epstein Barr Virus Associated Lymphoproliferative Disorder in a Child with Acute Lymphoblastic Leukemia: Successful Treatment with Rituximab and Interferon-Alpha
title_fullStr Central Nervous System Involvement of Epstein Barr Virus Associated Lymphoproliferative Disorder in a Child with Acute Lymphoblastic Leukemia: Successful Treatment with Rituximab and Interferon-Alpha
title_full_unstemmed Central Nervous System Involvement of Epstein Barr Virus Associated Lymphoproliferative Disorder in a Child with Acute Lymphoblastic Leukemia: Successful Treatment with Rituximab and Interferon-Alpha
title_short Central Nervous System Involvement of Epstein Barr Virus Associated Lymphoproliferative Disorder in a Child with Acute Lymphoblastic Leukemia: Successful Treatment with Rituximab and Interferon-Alpha
title_sort central nervous system involvement of epstein barr virus associated lymphoproliferative disorder in a child with acute lymphoblastic leukemia successful treatment with rituximab and interferon alpha
topic epstein-barr virus
lymphoproliferative disorder
rituximab
children
leukemia
url https://jag.journalagent.com/z4/download_fulltext.asp?pdir=tjh&un=TJH-43926
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