TIM‐3 deficiency presenting with two clonally unrelated episodes of mesenteric and subcutaneous panniculitis‐like T‐cell lymphoma and hemophagocytic lymphohistiocytosis

This report offers novel clinical and diagnostic aspects of the association between germline mutations in HAVCR2 and subcutaneous panniculitis‐like T‐cell lymphoma (SPTCL). The patient presented with panniculitis‐like T‐cell lymphoma involving mesenteric fatty tissue associated with hemophagocytic l...

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Veröffentlicht in:Pediatric blood & cancer 2020-06, Vol.67 (6), p.e28302-n/a
Hauptverfasser: Wegehaupt, Oliver, Groß, Miriam, Wehr, Claudia, Marks, Reinhard, Schmitt‐Graeff, Annette, Uhl, Markus, Lorenz, Myriam, Schwarz, Klaus, Kratz, Christian, Niemeyer, Charlotte, Ehl, Stephan
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container_issue 6
container_start_page e28302
container_title Pediatric blood & cancer
container_volume 67
creator Wegehaupt, Oliver
Groß, Miriam
Wehr, Claudia
Marks, Reinhard
Schmitt‐Graeff, Annette
Uhl, Markus
Lorenz, Myriam
Schwarz, Klaus
Kratz, Christian
Niemeyer, Charlotte
Ehl, Stephan
description This report offers novel clinical and diagnostic aspects of the association between germline mutations in HAVCR2 and subcutaneous panniculitis‐like T‐cell lymphoma (SPTCL). The patient presented with panniculitis‐like T‐cell lymphoma involving mesenteric fatty tissue associated with hemophagocytic lymphohistiocytosis (HLH). Five years later, he developed a clonally unrelated SPTCL and underwent hematopoietic stem cell transplantation. Retrospectively, he was found to carry germline mutations in HAVCR2 associated with reduced T‐cell immunoglobulin mucin‐3 (TIM‐3) expression. We show that mesenteric fatty tissue localization of SPTCL can be the presenting manifestation of TIM‐3 deficiency, that this condition predisposes to recurrent lymphoma, and that flow cytometry is a possible screening tool.
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subjects congenital immunodeficiency (not HIV)
Flow cytometry
Hematology
Hematopoietic stem cells
hemophagocytic lymphohistiocytosis
Histiocytosis
Localization
Lymphatic diseases
Lymphocytosis
Lymphoma
Mucin
Mutation
non‐Hodgkin's lymphoma
Oncology
Pediatrics
Stem cell transplantation
subcutaneous panniculitis‐like T‐cell lymphoma
T-cell lymphoma
title TIM‐3 deficiency presenting with two clonally unrelated episodes of mesenteric and subcutaneous panniculitis‐like T‐cell lymphoma and hemophagocytic lymphohistiocytosis
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