Hemophagocytic Bone Marrow Aplasia With Plasma Cells in a RAG2-deficient SCID Case After a Nonconditioned Transplantation From a Fully Matched Sibling

Yıldıran A., Fisgin T., Guner S. N., Kilic M., SANCAK R., Ozyurek E., ...Daha Fazla

JOURNAL OF PEDIATRIC HEMATOLOGY ONCOLOGY, cilt.35, sa.8, 2013 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 35 Sayı: 8
  • Basım Tarihi: 2013
  • Doi Numarası: 10.1097/mph.0b013e31827e8448
  • Dergi Adı: JOURNAL OF PEDIATRIC HEMATOLOGY ONCOLOGY
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Anahtar Kelimeler: SCID, RAG2, bone marrow, aplasia, transplantation, hemophagocytic, plasma cell, SEVERE COMBINED IMMUNODEFICIENCY
  • Ondokuz Mayıs Üniversitesi Adresli: Evet

Özet

We report a RAG2-deficient patient with severe combined immunodeficiency and hemophagocytic bone marrow aplasia with plasma cells after a nonconditioned transplantation from a fully matched sibling. After engraftment, disseminated BCGosis appeared because of graft versus host disease prophylaxis. On the 55th day, eosinophilia, neutropenia, and thrombocytopenia developed. Aplasia, hemophagocytic histiocytes, and plasma cells were found on his bone marrow with very high level of serum immunoglobulin E. We could not discriminate exactly whether BCGosis or alloimmune response is the cause of hemophagocytic aplasia with plasma cells. Despite the second hematopoietic stem cell transplantation with a reduced intensity conditioning regime, his marrow aplasia did not recover and he died. This case suggests that BCGosis might be associated with hemophagocytic marrow aplasia with plasma cells in an alloimmune reaction.