Large granular lymphocyte leukaemia occurring after renal transplantation.
Post-transplantation lymphoproliferative disorders (PTLD) are a clinicopathologically heterogeneous group of lymphoid proliferations. The majority are of B-cell origin and associated with Epstein-Barr virus (EBV) infection. In contrast, the development of T-cell PTLD is much less common and EBV does not appear to be involved in pathogenesis. In this report we describe three patients who developed large granular lymphocyte (LGL) leukaemia after renal transplantation. These patients had clonal expansion of CD3+, CD8+, CD57+, CD56- LGL. We were unable to detect CMV antigen or find evidence for EBV or human T-cell leukaemia/lymphoma virus genome in the LGL from these patients. These data show that LGL leukaemia should be included as one of the types of T-cell proliferations which can occur post transplant.
Gentile
T C
TC
Department of Medicine, Health Science Center, State University of New York at Syracuse, USA.
Hadlock
K G
KG
Uner
A H
AH
Delal
B
B
Squiers
E
E
Crowley
S
S
Woodman
R C
RC
Foung
S K
SK
Poiesz
B J
BJ
Loughran
T P
TP
D000328:Adult; D000368:Aged; D015703:Antigens, CD / Q000032:analysis; D015153:Blotting, Western; D003587:Cytomegalovirus / Q000302:isolation & purification; D003586:Cytomegalovirus Infections / Q000150:complications; D004279:DNA, Viral / Q000032:analysis; D005260:Female; D015333:Gene Rearrangement, beta-Chain T-Cell Antigen Receptor; D016679:Genome, Viral; D015490:HTLV-I Infections / Q000150:complications; D015491:HTLV-II Infections / Q000150:complications; D006566:Herpesviridae Infections / Q000150:complications; D004854:Herpesvirus 4, Human / Q000302:isolation & purification; D015368:Human T-lymphotropic virus 1 / Q000302:isolation & purification; D015367:Human T-lymphotropic virus 2 / Q000302:isolation & purification; D006801:Humans; D007165:Immunosuppression Therapy / Q000009:adverse effects; D016030:Kidney Transplantation / Q000009:adverse effects*; D007945:Leukemia, Lymphoid / Q000821:virology*; D008297:Male; D009894:Opportunistic Infections / Q000150:complications; D011948:Receptors, Antigen, T-Cell / Q000032:analysis
D015703:Antigens, CD; D004279:DNA, Viral; D011948:Receptors, Antigen, T-Cell