Carta Acesso aberto Revisado por pares

Necrobiotic xanthogranuloma successfully treated with autologous stem cell transplantation

2007; Springer Science+Business Media; Volume: 86; Issue: 4 Linguagem: Inglês

10.1007/s00277-006-0231-0

ISSN

1432-0584

Autores

Jeroen S. Goede, Benjamin Misselwitz, Christian Taverna, Urs Schanz, Angela Dispenzieri, Yvonne Hummel, Ralph M. Trüeb, Jörg Fehr,

Tópico(s)

Autoimmune and Inflammatory Disorders

Resumo

Paraproteinemia can be complicated by necrobiotic xanthogranuloma. Therapeutic options for this progressive disease are limited, and there is no agreement on a single best strategy. We report the case of a patient with a massive periorbital infiltration narrowing the palpebral fissure and blinding the patient. Conventional myeloma therapy had only limited benefit in our patient. However, he was successfully treated with high-dose chemotherapy followed by autologous stem cell transplantation, rendering the patient free of symptoms. This is the first report of autologous stem cell transplantation in a patient with necrobiotic xanthogranuloma.

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