TAFRO Syndrome in a Patient of South-American Descent

Autor: Cecilia Cabral, Augusto Castroagudin, Tatiana Uehara, Enrique Darderes, Damián M. Contardo, Natalia Gabriela Deligiannis, Horacio di Fonzo, Paola Finocchietto, Claudia Papini
Rok vydání: 2015
Předmět:
Zdroj: European Journal of Case Reports in Internal Medicine, Vol 2, Iss 4 (2015)
ISSN: 2284-2594
DOI: 10.12890/000220
Popis: A 31-year-old Caucasian woman of South-American descent was diagnosed with a variant of multicentric Castleman disease (MCD) that has been reported in Japan as Castleman-Kojima disease. This is a systemic inflammatory disorder known as TAFRO Syndrome which includes thrombocytopenia, polyserositis (ascites/pleural effusion), microcytic anemia, myelofibrosis, fever, renal dysfunction and organomegaly, with immunologic disorder, polyclonal hypergammaglobulinemia, and elevated levels of interleukin-6 (IL-6) and the vascular endothelial growth factor present in serum and/or effusions. Optimal therapies are not well established. The patient was treated with methylprednisolone and rituximab. Following the start of treatment, the patient has been asymptomatic for over 8 months. This is one of only a few reports of TAFRO Syndrome in a non-Japanese patient.
Databáze: OpenAIRE