Epstein‐Barr Virus and Posttransplant Lymphoproliferative Disorder in Solid Organ Transplant Recipients

U. Allen,J. Preiksaitis

Published 2009 in American Journal of Transplantation

ABSTRACT

Posttransplant lymphoproliferative disorder (PTLD) is recognized as potentially one of the most devastating complications of organ transplantation. Epstein-Barr virus (EBV) is associated with the majority of PTLD cases. The entity referred to as EBV-associated PTLD encompasses a wide spectrum of clinical conditions characterized by lymphoproliferation after transplantation. These syndromes range from uncomplicated infectious mononucleosis to true malignancies (1–3). Disease may be nodal or extranodal, localized, often in the allograft, or widely disseminated. Patients may be symptomatic or asymptomatic. PTLD may resemble a self-limited infection or be indistinguishable from non-Hodgkin’s lymphoma. Lesions may be localized and progress slowly or the patient may present with a fulminant multisystem sepsis-like syndrome.

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