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Complete Resolution of a Case of TAFRO Syndrome Accompanied by Mediastinal Panniculitis,Adrenal Lesion,and Liver Damage with Hyperbilirubinemia
Authors:Shiro Ono  Kiyomi Yoshimoto  Nobushiro Nishimura  Ryo Yoneima  Hiromasa Kawashima  Tadanao Kobayashi  Yoshiaki Tai  Makiko Miyamoto  Emiko Tsushima  Noritaka Yada  Kenji Nishio
Institution:1.Department of General Medicine, Nara Medical University, Japan
Abstract:TAFRO syndrome is a systemic inflammatory, lymphoproliferative disorder, but the pathophysiology of the disease is unknown. It is typically characterized by thrombocytopenia, anasarca, a fever, reticulin fibrosis, renal dysfunction, and organomegaly. However, other manifestations have been also reported. We encountered a 43-year-old man with TAFRO syndrome who showed mediastinal panniculitis, liver damage, and adrenal lesions in addition to the core signs. He achieved complete remission with combination therapy of corticosteroids, tocilizumab, and cyclosporin, and remission was maintained even after drug discontinuation at 15 months. Atypical manifestations and complete remission of TAFRO syndrome were remarkable features of our case.
Keywords:TAFRO syndrome  liver damage  adrenal lesion  tocilizumab  cyclosporin  complete resolution
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