Epstein-Barr virus-induced, posttransplant lymphoproliferative disorders

被引:381
|
作者
Paya, CV [1 ]
Fung, JJ
Nalesnik, MA
Kieff, E
Green, M
Gores, G
Habermann, TM
Wiesner, RH
Swinnen, LJ
Woodle, ES
Bromberg, JS
机构
[1] Mayo Clin, Dept Immunol, Rochester, MN 55905 USA
[2] Mayo Clin, Dept Pathol, Rochester, MN 55905 USA
[3] Mayo Clin, Div Infect Dis, Rochester, MN 55905 USA
[4] Mayo Clin, Mayo Transplant Ctr, Rochester, MN 55905 USA
[5] Univ Pittsburgh, Dept Transplantat Surg, Pittsburgh, PA 15260 USA
[6] Univ Pittsburgh, Div Transplantat, Pittsburgh, PA 15260 USA
[7] Harvard Univ, Dept Med, Boston, MA 02115 USA
[8] Harvard Univ, Dept Microbiol & Mol Genet, Boston, MA 02115 USA
[9] Childrens Hosp Pittsburgh, Div Allergy Immunol & Infect Dis, Pittsburgh, PA 15213 USA
[10] Mayo Clin, Div Gastroenterol, Rochester, MN 55905 USA
[11] Mayo Clin, Mayo Transplant Ctr, Rochester, MN 55905 USA
[12] Mayo Clin, Div Hematol, Rochester, MI USA
[13] Loyola Univ, Med Ctr, Div Hematol Oncol, Maywood, IL 60153 USA
[14] Univ Chicago, Dept Surg, Chicago, IL 60637 USA
[15] Univ Michigan, Ctr Med, Dept Surg, Ann Arbor, MI 48109 USA
[16] Univ Michigan, Ctr Med, Div Transplantat, Ann Arbor, MI 48109 USA
关键词
D O I
10.1097/00007890-199911270-00015
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Epstein-Barr virus-induced posttransplant lymphoproliferative disease (EBV-PTLD) continues to be a major complication after solid organ transplantation in high-risk patients. Despite the identification of risk factors that predispose patients to develop EBV-PTLD, limitations in our knowledge of its pathogenesis, variable criteria for establishing the diagnosis, and lack of randomized studies addressing the prevention and treatment of EBV-PTLD hamper the optimal management of this transplant complication. This review summarizes the current knowledge of EBV-PTLD and, as a result of two separate international meetings on this topic, and provides recommendations for future areas of study.
引用
收藏
页码:1517 / 1525
页数:9
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