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Budd-Chiari syndrome and Epstein-Barr virus (EBV) associated plasmacytoma in a patient with chronic active EBV infection
Authors:S. Nagafuchi  H. Ishibashi  K. Anzai  K. Ohshima  Y. Ohno  N. Fukushima  M. Hashizume  K. Sugimachi  H. Chuman  M. Kikuchi  Y. Niho
Affiliation:(1) First Department of Internal Medicine, Faculty of Medicine, Kyushu University, 812 Fukuoka, Japan;(2) Department of Pathology, School of Medicine, Fukuoka University, 814 Fukuoka, Japan;(3) Second Department of Surgery, Faculty of Medicine, Kyushu University, 812 Fukuoka, Japan;(4) Department of Orthopedics, Faculty of Medicine, Kyushu University, 812 Fukuoka, Japan
Abstract:A 42-year-old Japanese man with chronic active Epstein-Barr virus (EBV) infection initially responded to treatment with interleukin-2 (IL-2). Six months later he developed thrombosis in the hepatic veins, and Budd-Chiari syndrome associated with severe hepatic damage was diagnosed. He also developed a solitary EBV-positive plasmacytoma in the right femur. Since these rare complications occurred after long-term IL-2 therapy, the possibility that long-term IL-2 therapy might cause Budd-Chiari syndrome and liver damage as well as EBV-associated plasmacytoma is discussed.Abbreviations EBV Epstein-Barr virus - EBER1 EpsteinBarr virus-encoded RNA-1 - IL-2 interleukin-2 - NK natural killer - LMP latent membrane protein - LAK lymphokine activated killer
Keywords:Epstein-Barr virus  Epstein-Barr virus encoded RNA-1  Budd-Chiari syndrome  Plasmacytoma  Interleukin 2
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