Two Clonally Distinct B-Cell Lymphomas Reveal the Diagnosis of XLP1 in a Male Child and His Asymptomatic Male Relatives: Case Report and Review of the Literature.


Journal

Journal of pediatric hematology/oncology
ISSN: 1536-3678
Titre abrégé: J Pediatr Hematol Oncol
Pays: United States
ID NLM: 9505928

Informations de publication

Date de publication:
01 Nov 2021
Historique:
received: 31 07 2020
accepted: 25 11 2020
pubmed: 16 1 2021
medline: 6 1 2022
entrez: 15 1 2021
Statut: ppublish

Résumé

X-linked lymphoproliferative disease type 1 (XLP1) is a primary immunodeficiency disorder caused by pathogenic variants in the SH2D1A gene (SH2 domain containing protein 1A). Patients with XLP1 may present acutely with fulminant infectious mononucleosis, hemophagocytic lymphohistiocytosis, and/or B-cell non-Hodgkin lymphoma (B-NHL). We report a boy who developed 2 clonally distinct B-NHL 4 years apart and was found to have previously unrecognized XLP1. The report highlights the importance of clonal analysis and XLP1 testing in males with presumed late recurrences of B-NHL, and the role of allogeneic stem cell transplant (allo-SCT) in XLP1 patients and their affected male relatives.

Identifiants

pubmed: 33448720
doi: 10.1097/MPH.0000000000002049
pii: 00043426-202111000-00043
doi:

Substances chimiques

SH2D1A protein, human 0
Signaling Lymphocytic Activation Molecule Associated Protein 0

Types de publication

Case Reports Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

e1210-e1213

Informations de copyright

Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.

Déclaration de conflit d'intérêts

The authors declare no conflict of interest.

Références

Sandlund JT, Shurtleff SA, Onciu M, et al. Frequent mutations in SH2D1A (XLP) in males presenting with high-grade mature B-cell neoplasms. Pediatr Blood Cancer. 2013;60:E85–E87.
Schmid JP, Canioni D, Moshous D, et al. Clinical similarities and differences of patients with X-linked lymphoproliferative syndrome type 1 (XLP-1/SAP deficiency) versus type 2 (XLP-2/XIAP deficiency). Blood. 2011;117:1522–1529.
Booth C, Schwartzberg PL. X-linked lymphoproliferative disease type 1 :a clinical and molecular. Perspective. 2018;9:666.
Rezaei N, Mahmoudi E, Aghamohammadi A, et al. X-linked lymphoproliferative syndrome: a genetic condition typified by the triad of infection, immunodeficiency and lymphoma. Br J Haematol. 2011;152:13–30.
Masqué-Soler N, Szczepanowski M, Kohler CW, et al. Clinical and pathological features of Burkitt lymphoma showing expression of BCL2 - an analysis including gene expression in formalin-fixed paraffin-embedded tissue. Br J Haematol. 2015;171:501–508.
Purtilo DT, Sakamoto K, Barnabei V, et al. Epstein-Barr virus-induced diseases in boys with the X-linked lymphoproliferative syndrome (XLP). Update on studies of the registry. Am J Med. 1982;73:49–56.
Egeler RM, De Kraker J, Slater R, et al. Documentation of burkitt lymphoma with t(8;14) (q24;q32) in x-linked lymphoproliferative disease. Cancer. 1992;70:683–687.
Strahm B, Rittweiler K, Duffner U, et al. Recurrent B-cell non-Hodgkin’s lymphoma in two brothers with X-linked lymphoproliferative disease without evidence for Epstein-Barr virus infection. Br J Haematol. 2000;108:377–382.
Zhou D, Paxton CN, Kelley TW, et al. Two unrelated burkitt lymphomas seven years apart in a patient with X-linked lymphoproliferative disease type 1 (XLP1). Am J Clin Pathol. 2016;146:248–253.
Similuk M, Rao VK, Churpek J, et al. Predispositions to lymphoma: a practical review for genetic counselors. J Genet Couns. 2016;25:1157–1170.
Booth C, Gilmour KC, Veys P, et al. X-linked lymphoproliferative disease due to SAP/SH2D1A deficiency: a multicenter study on the manifestations, management and outcome of the disease. Blood. 2011;117:53–62.

Auteurs

Fiorella Iglesias Cardenas (F)

Department of Pediatrics, University of Utah and Primary Children's Hospital.
Department of Pediatrics, Memorial Sloan-Kettering Cancer Center, New York City, NY.

Archana M Agarwal (AM)

Department of Pathology, University of Utah.
ARUP Laboratories.

Jennie Vagher (J)

Division of Oncology, Department of Internal Medicine, Huntsman Cancer Institute, University of Utah, Salt Lake City, UT.

Luke Maese (L)

Department of Pediatrics, University of Utah and Primary Children's Hospital.

Mark Fluchel (M)

Department of Pediatrics, University of Utah and Primary Children's Hospital.

Zeinab Afify (Z)

Department of Pediatrics, University of Utah and Primary Children's Hospital.

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