Document Detail


Progressive multifocal leukoencephalopathy in chronic lymphocytic leukemia: a report of three cases and review of the literature.
MedLine Citation:
PMID:  20223720     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Progressive multifocal leukoencephalopathy (PML) is a demyelinating disease of the central nervous system caused by the John Cunningham (JC) virus, a DNA papovavirus. It is usually associated with conditions causing profound immunodeficiency, classically seen in patients with HIV/AIDS. Since its first description in 1958, PML has also been associated with various lymphoproliferative malignancies, including chronic lymphocytic leukemia (CLL). With the use of newer chemotherapeutic agents such as the purine analogue fludarabine and various monoclonal antibodies in the treatment of CLL, more cases of PML are being described. In this article, we describe 3 patients encountered in our clinical practice having CLL and PML infection. All three patients had received fludarabine and rituximab at some point during the course of their chemotherapy. We provide these cases with a review of the literature.
Authors:
Anita D'Souza; Jon Wilson; Sudipto Mukherjee; Ishmael Jaiyesimi
Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Clinical lymphoma, myeloma & leukemia     Volume:  10     ISSN:  2152-2669     ISO Abbreviation:  Clin Lymphoma Myeloma Leuk     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-03-12     Completed Date:  2010-06-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101525386     Medline TA:  Clin Lymphoma Myeloma Leuk     Country:  United States    
Other Details:
Languages:  eng     Pagination:  E1-9     Citation Subset:  IM    
Affiliation:
Department of Internal Medicine, William Beaumont Hospital, Royal Oak, MI 48017, USA. anita.dsouza@beaumont.edu
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MeSH Terms
Descriptor/Qualifier:
Aged
Antibodies, Monoclonal / adverse effects
Hematopoietic Stem Cell Transplantation / adverse effects
Humans
Leukemia, Lymphocytic, Chronic, B-Cell / complications
Leukoencephalopathy, Progressive Multifocal / etiology*,  pathology
Magnetic Resonance Imaging
Male
Middle Aged
Chemical
Reg. No./Substance:
0/Antibodies, Monoclonal

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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