A rare case of myeloproliferative disease with t(8;13)(p11;q12) associated with eosinophilia and lymphadenopathy
Myeloproliferative disease associated with FGFR1 rearrangement (8p11), which is included in the 2008 WHO Classification of Myeloid Neoplasms, is a rare and extremely aggressive abnormality. The paper describes a clinical case of a 39-year-old female patient who was detected to have leukocytosis (as...
Main Authors: | , , , , , , , , |
---|---|
Format: | Article |
Language: | Russian |
Published: |
"Consilium Medicum" Publishing house
2016-07-01
|
Series: | Терапевтический архив |
Subjects: | |
Online Access: | https://ter-arkhiv.ru/0040-3660/article/viewFile/32029/pdf |
id |
doaj-8d4de3d09a2e44d492cdec58c15e831d |
---|---|
record_format |
Article |
spelling |
doaj-8d4de3d09a2e44d492cdec58c15e831d2020-11-25T03:06:36Zrus"Consilium Medicum" Publishing houseТерапевтический архив0040-36602309-53422016-07-018879810329045A rare case of myeloproliferative disease with t(8;13)(p11;q12) associated with eosinophilia and lymphadenopathyN N TsybaA G TurkinaE Yu ChelyshevaI S NemchenkoA M KovriginaT N ObukhovaE S UrnovaL A KuzminaV G SavchenkoMyeloproliferative disease associated with FGFR1 rearrangement (8p11), which is included in the 2008 WHO Classification of Myeloid Neoplasms, is a rare and extremely aggressive abnormality. The paper describes a clinical case of a 39-year-old female patient who was detected to have leukocytosis (as high as 47.2·109/l), absolute eosinophilia (as high as 3.1·109/l), and enlarged peripheral lymph nodes during her visit to a doctor. The bone marrow (BM) showed the changes typically encountered in myeloproliferative disease with eosinophilia. The patient was found to have t(8;13)(p11;q12) translocation associated with the rearrangement of the FGFR1 gene located at the 8p11 locus. Molecular and cytogenetic examinations failed to reveal BCR-ABL chimeric transcript, Jak2 V617F mutation, and deletions and translocations involving PDGFRA (4q12) and PDGFRB (5q32-33). The similar changes in the karyotype were also found in the lymph node cells. The undertaken treatment with hydroxyurea and the tyrosine kinase inhibitor dasatinib turned out to be ineffective. The patient underwent allogeneic BM transplantation from a HLA-identical sibling. Graft rejection occurred 6 months later. Allogeneic BM transplantation from the same donor (100% donor chimerism; FGFR1/8р11 translocation was not detected), which was complicated by the development of chronic graft-versus-host reaction, was performed again in March 2015. The patient is being followed up and continues to receive immunosuppressive therapy.https://ter-arkhiv.ru/0040-3660/article/viewFile/32029/pdf8p11 myeloproliferative syndromemyeloproliferative diseasefgfr1 genet(813)(p11q12)clinical pictureallogeneic bone marrow transplantationgraft-versus-host reactiont(813)(p11q12) |
collection |
DOAJ |
language |
Russian |
format |
Article |
sources |
DOAJ |
author |
N N Tsyba A G Turkina E Yu Chelysheva I S Nemchenko A M Kovrigina T N Obukhova E S Urnova L A Kuzmina V G Savchenko |
spellingShingle |
N N Tsyba A G Turkina E Yu Chelysheva I S Nemchenko A M Kovrigina T N Obukhova E S Urnova L A Kuzmina V G Savchenko A rare case of myeloproliferative disease with t(8;13)(p11;q12) associated with eosinophilia and lymphadenopathy Терапевтический архив 8p11 myeloproliferative syndrome myeloproliferative disease fgfr1 gene t(8 13)(p11 q12) clinical picture allogeneic bone marrow transplantation graft-versus-host reaction t(8 13)(p11 q12) |
author_facet |
N N Tsyba A G Turkina E Yu Chelysheva I S Nemchenko A M Kovrigina T N Obukhova E S Urnova L A Kuzmina V G Savchenko |
author_sort |
N N Tsyba |
title |
A rare case of myeloproliferative disease with t(8;13)(p11;q12) associated with eosinophilia and lymphadenopathy |
title_short |
A rare case of myeloproliferative disease with t(8;13)(p11;q12) associated with eosinophilia and lymphadenopathy |
title_full |
A rare case of myeloproliferative disease with t(8;13)(p11;q12) associated with eosinophilia and lymphadenopathy |
title_fullStr |
A rare case of myeloproliferative disease with t(8;13)(p11;q12) associated with eosinophilia and lymphadenopathy |
title_full_unstemmed |
A rare case of myeloproliferative disease with t(8;13)(p11;q12) associated with eosinophilia and lymphadenopathy |
title_sort |
rare case of myeloproliferative disease with t(8;13)(p11;q12) associated with eosinophilia and lymphadenopathy |
publisher |
"Consilium Medicum" Publishing house |
series |
Терапевтический архив |
issn |
0040-3660 2309-5342 |
publishDate |
2016-07-01 |
description |
Myeloproliferative disease associated with FGFR1 rearrangement (8p11), which is included in the 2008 WHO Classification of Myeloid Neoplasms, is a rare and extremely aggressive abnormality. The paper describes a clinical case of a 39-year-old female patient who was detected to have leukocytosis (as high as 47.2·109/l), absolute eosinophilia (as high as 3.1·109/l), and enlarged peripheral lymph nodes during her visit to a doctor. The bone marrow (BM) showed the changes typically encountered in myeloproliferative disease with eosinophilia. The patient was found to have t(8;13)(p11;q12) translocation associated with the rearrangement of the FGFR1 gene located at the 8p11 locus. Molecular and cytogenetic examinations failed to reveal BCR-ABL chimeric transcript, Jak2 V617F mutation, and deletions and translocations involving PDGFRA (4q12) and PDGFRB (5q32-33). The similar changes in the karyotype were also found in the lymph node cells. The undertaken treatment with hydroxyurea and the tyrosine kinase inhibitor dasatinib turned out to be ineffective. The patient underwent allogeneic BM transplantation from a HLA-identical sibling. Graft rejection occurred 6 months later. Allogeneic BM transplantation from the same donor (100% donor chimerism; FGFR1/8р11 translocation was not detected), which was complicated by the development of chronic graft-versus-host reaction, was performed again in March 2015. The patient is being followed up and continues to receive immunosuppressive therapy. |
topic |
8p11 myeloproliferative syndrome myeloproliferative disease fgfr1 gene t(8 13)(p11 q12) clinical picture allogeneic bone marrow transplantation graft-versus-host reaction t(8 13)(p11 q12) |
url |
https://ter-arkhiv.ru/0040-3660/article/viewFile/32029/pdf |
work_keys_str_mv |
AT nntsyba ararecaseofmyeloproliferativediseasewitht813p11q12associatedwitheosinophiliaandlymphadenopathy AT agturkina ararecaseofmyeloproliferativediseasewitht813p11q12associatedwitheosinophiliaandlymphadenopathy AT eyuchelysheva ararecaseofmyeloproliferativediseasewitht813p11q12associatedwitheosinophiliaandlymphadenopathy AT isnemchenko ararecaseofmyeloproliferativediseasewitht813p11q12associatedwitheosinophiliaandlymphadenopathy AT amkovrigina ararecaseofmyeloproliferativediseasewitht813p11q12associatedwitheosinophiliaandlymphadenopathy AT tnobukhova ararecaseofmyeloproliferativediseasewitht813p11q12associatedwitheosinophiliaandlymphadenopathy AT esurnova ararecaseofmyeloproliferativediseasewitht813p11q12associatedwitheosinophiliaandlymphadenopathy AT lakuzmina ararecaseofmyeloproliferativediseasewitht813p11q12associatedwitheosinophiliaandlymphadenopathy AT vgsavchenko ararecaseofmyeloproliferativediseasewitht813p11q12associatedwitheosinophiliaandlymphadenopathy AT nntsyba rarecaseofmyeloproliferativediseasewitht813p11q12associatedwitheosinophiliaandlymphadenopathy AT agturkina rarecaseofmyeloproliferativediseasewitht813p11q12associatedwitheosinophiliaandlymphadenopathy AT eyuchelysheva rarecaseofmyeloproliferativediseasewitht813p11q12associatedwitheosinophiliaandlymphadenopathy AT isnemchenko rarecaseofmyeloproliferativediseasewitht813p11q12associatedwitheosinophiliaandlymphadenopathy AT amkovrigina rarecaseofmyeloproliferativediseasewitht813p11q12associatedwitheosinophiliaandlymphadenopathy AT tnobukhova rarecaseofmyeloproliferativediseasewitht813p11q12associatedwitheosinophiliaandlymphadenopathy AT esurnova rarecaseofmyeloproliferativediseasewitht813p11q12associatedwitheosinophiliaandlymphadenopathy AT lakuzmina rarecaseofmyeloproliferativediseasewitht813p11q12associatedwitheosinophiliaandlymphadenopathy AT vgsavchenko rarecaseofmyeloproliferativediseasewitht813p11q12associatedwitheosinophiliaandlymphadenopathy |
_version_ |
1724673451749277696 |