Successful Rituximab Monotherapy in Advanced-stage, Epstein-Barr Virus-positive Diffuse Large B-Cell Lymphoma in an Adolescent with Systemic Juvenile Idiopathic Arthritis

Takuto Takahashi, Patricia M. Hobday, Tamara C. Pozos, Peter M. Gordon

Research output: Contribution to journalArticlepeer-review

Abstract

Epstein-Barr virus-positive diffuse large B-cell lymphoma (EBV+ DLBCL) in pediatrics most commonly occurs as an iatrogenic immunodeficiency-associated lymphoproliferative disease. We report an 18-year-old female individual with refractory systemic juvenile idiopathic arthritis, treated with multiple immunosuppressive agents, who was diagnosed with stage III, EBV+ DLBCL. The patient achieved sustained complete remission after 4 weekly doses of rituximab monotherapy and reduction of immunosuppression. This case suggests that a post-transplant lymphoproliferative disease-like treatment approach can be a safe and effective therapy in a nontransplant, yet severely immunosuppressed, patient with EBV+ DLBCL.

Original languageEnglish (US)
Pages (from-to)E498-E500
JournalJournal of pediatric hematology/oncology
Volume43
Issue number4
DOIs
StatePublished - May 2021

Bibliographical note

Publisher Copyright:
© 2021 Lippincott Williams and Wilkins. All rights reserved.

Keywords

  • Epstein-Barr virus
  • diffuse large B-cell lymphoma
  • immunosuppression
  • juvenile idiopathic arthritis
  • rituximab

PubMed: MeSH publication types

  • Case Reports
  • Journal Article

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