CSF IgH gene rearrangement analysis in isolated post-transplant lymphoproliferative disorder of the central nervous system

J Neurooncol. 2008 Jan;86(1):57-60. doi: 10.1007/s11060-007-9429-9. Epub 2007 Oct 2.

Abstract

Isolated post-transplant lymphoproliferative disorder (PTLD) of the central nervous system is rare and its diagnosis can be challenging. A biopsy is usually required in order to distinguish the disease from opportunistic infections. We present a case in whom immunoglobulin heavy chain gene rearrangement analysis of cerebrospinal fluid (CSF) was instrumental in establishing the diagnosis.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Antigens, CD20 / metabolism
  • Central Nervous System / pathology*
  • Female
  • Gene Rearrangement / physiology*
  • Humans
  • Immunoglobulin Heavy Chains / cerebrospinal fluid*
  • Kidney Transplantation / adverse effects
  • Lymphoproliferative Disorders / cerebrospinal fluid*
  • Lymphoproliferative Disorders / etiology
  • Lymphoproliferative Disorders / immunology*
  • Lymphoproliferative Disorders / pathology*
  • Magnetic Resonance Imaging / methods

Substances

  • Antigens, CD20
  • Immunoglobulin Heavy Chains