COVID-19之后的特发性多中心卡斯特曼病--TAFRO:病例报告

IF 0.9 Q4 RHEUMATOLOGY
Tatsuro Shiina, Eriko Kashihara Yamamoto, Hirotaka Yamada, Sho Sendo, Maki Kanzawa, Jun Saegusa
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引用次数: 0

摘要

TAFRO综合征是一种罕见的疾病,以血小板减少、贫血、发热、网状纤维化和器官肿大为特征,被认为是由高细胞因子血症引起的。它是一种异质性的临床实体,最近一项全面的国际定义将淋巴结组织病理学与特发性多中心卡斯特曼病(iMCD)一致的 TAFRO 综合征定义为 iMCD-TAFRO。在此,我们介绍一例罕见的感染冠状病毒病 2019(COVID-19)后的 iMCD-TAFRO 病例。一名 62 岁的日本妇女最初被诊断为 COVID-19,随后出现持续发热和体液潴留,从而被诊断为 iMCD-TAFRO。在开始使用泼尼松龙和环孢素后,她的症状逐渐缓解。因此,我们讨论了 COVID-19 和 iMCD-TAFRO 之间潜在的病理生理学联系,并强调了细胞因子风暴的作用。本病例报告强调了识别 COVID-19 后炎症状态范围以及区分 COVID-19 后 iMCD-TAFRO 与 COVID-19 细胞因子风暴综合征的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Idiopathic multicentric Castleman disease-TAFRO after COVID-19: A case report.

TAFRO syndrome, a rare disease characterised by thrombocytopaenia, anasarca, fever, reticulin fibrosis, and organomegaly, is thought to be caused by hypercytokinaemia. It is a heterogeneous clinical entity, and a recent comprehensive international definition defined TAFRO syndrome with lymph node histopathology consistent with idiopathic multicentric Castleman disease (iMCD) as iMCD-TAFRO. Herein, we present a rare case of iMCD-TAFRO following coronavirus disease 2019 (COVID-19) infection. A 62-year-old Japanese woman, initially diagnosed with COVID-19, developed a persistent fever and fluid retention, prompting the diagnosis of iMCD-TAFRO. Following the initiation of prednisolone and cyclosporine, her symptoms gradually resolved. Therefore, we discuss the potential pathophysiological link between COVID-19 and iMCD-TAFRO, emphasising the role of cytokine storms. This case report highlights the importance of recognising the spectrum of inflammatory states after COVID-19 and differentiating iMCD-TAFRO after COVID-19 from the COVID-19 cytokine storm syndrome.

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