Persistent anemia in a patient with diffuse large B cell lymphoma: pure red cell aplasia associated with latent epstein-barr virus infection in bone marrow.
Persistent anemia in a patient with diffuse large B cell lymphoma: pure red cell aplasia associated with latent epstein-barr virus infection in bone marrow. Research Abstract Details
Persistent anemia in a patient with diffuse large B cell lymphoma: pure red cell aplasia associated with latent epstein-barr virus infection in bone marrow. Abstract Text:
We report a case of pure red cell aplasia (PRCA), which was initially suspected as a result of bone marrow involvement of diffuse large B cell lymphoma. Persistent anemia without an obvious cause was observed in a 47-yr-old man diagnosed with relapsed diffuse large B cell lymphoma. The bone marrow study showed only erythroid hypoplasia without the evidence of bone marrow involvement with lymphoma cells, thus PRCA was suggested. However, parvovirus infection was excluded as a potential cause of PRCA because of negative IgM anti-parvovirus B19 antibody and negative parvovirus PCR in the serum. Latent Epstein-Barr virus (EBV) infection of bone marrow was suggested by in situ hybridization with EBV-encoded small RNA (EBER) that showed a strong positive expression in bone marrow cells. Thus, PRCA was thought to be associated with latent EBV infection in bone marrow cells. Although the finding of unexplained anemia is a possible predictor of bone marrow involvement with lymphoma cells, PRCA as a result of a viral infection including EBV should be considered in lymphoma patients. This is the first report of the occurrence of PRCA associated with latent EBV infection in a patient with non-Hodgkin's lymphoma.
Persistent anemia in a patient with diffuse large B cell lymphoma: pure red cell aplasia associated with latent epstein-barr virus infection in bone marrow. Publishing Authors By Initials
Persistent anemia in a patient with diffuse large B cell lymphoma: pure red cell aplasia associated with latent epstein-barr virus infection in bone marrow. Journal Published:
PUBLICATION TYPE: Journal Article
Journal: Journal of Korean medical science
VOLUME: 22 Suppl
Page Numbers: S167-70
Journal Abbreviation: J. Korean Med. Sci.
ISSN: 1011-8934
DAY: 9
MONTH: Sep
YEAR: 2007
Persistent anemia in a patient with diffuse large B cell lymphoma: pure red cell aplasia associated with latent epstein-barr virus infection in bone marrow. Information
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LANGUAGE: eng
NlmUniqueID: 8703518
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Grant and Affiliation Information for Persistent anemia in a patient with diffuse large B cell lymphoma: pure red cell aplasia associated with latent epstein-barr virus infection in bone marrow.
AFFILIATION: Division of Hematology and Oncology, Department of Internal Medicine, Korea University Medical Center, Seoul, Korea.
Country: Korea (South)
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MEDLINETA: J Korean Med Sci
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