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Published in: Clinical Rheumatology 7/2007

01-07-2007 | Case Report

Polymyositis complicating donor lymphocyte infusion after stem cell transplantation for relapsed chronic myeloid leukemia: report of a case and review of literature

Authors: Feng-Cheng Liu, Chen-Hung Chen, Tsu-Yi Chao

Published in: Clinical Rheumatology | Issue 7/2007

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Abstract

Polymyositis may occur along with other manifestations of chronic graft vs host disease after allogeneic bone marrow transplantation (BMT). Donor lymphocyte infusion (DLI) could produce durable remissions in relapsed patients with chronic myelogenous leukemia (CML) but it may contribute to the development of polymyositis. We report in this study a 25-year-old man who suffered from a relapse of CML 4 years after a sibling human leukocyte antigen-matched allogenic BMT. The patient developed polymyositis 18 months after DLI. Mini-pulse therapy with methylprednisolone was effective for his proximal weakness and elevated creatine phosphokinase. There was no relapse of symptoms of polymyositis on tapering of the medication.
Literature
1.
go back to reference Biju G, Debashis D, Mammen C, Alok S, Vikram M et al (2001) Polymyositis—an unusual manifestation of chronic graft-versus-host disease. Rheumatol Int 20:169–170CrossRef Biju G, Debashis D, Mammen C, Alok S, Vikram M et al (2001) Polymyositis—an unusual manifestation of chronic graft-versus-host disease. Rheumatol Int 20:169–170CrossRef
2.
go back to reference Kolb HJ, Schattenberg A, Goldman JM, Hertenstein B, Jacobsten N, Arcese W et al (1995) Graft-versus-leukemia effect of donor lymphocyte transfusions in marrow grafted patients. European Group for Blood and Marrow Transplantation Working Party Chronic Leukemia. Blood 86:2041–2050PubMed Kolb HJ, Schattenberg A, Goldman JM, Hertenstein B, Jacobsten N, Arcese W et al (1995) Graft-versus-leukemia effect of donor lymphocyte transfusions in marrow grafted patients. European Group for Blood and Marrow Transplantation Working Party Chronic Leukemia. Blood 86:2041–2050PubMed
3.
go back to reference Tse S, Saunders EF, Silverman E, Vajsar J, Becker L, Meaney B (1999) Myasthenia gravis and polymyositis as manifestations of chronic GVHD. Bone Marrow Transplant 23:397–399PubMedCrossRef Tse S, Saunders EF, Silverman E, Vajsar J, Becker L, Meaney B (1999) Myasthenia gravis and polymyositis as manifestations of chronic GVHD. Bone Marrow Transplant 23:397–399PubMedCrossRef
4.
go back to reference Reyes M, Noronha P, Thomas W, Heredia R (1983) Myositis of chronic GVHD. Neurology 33:1222–1224PubMed Reyes M, Noronha P, Thomas W, Heredia R (1983) Myositis of chronic GVHD. Neurology 33:1222–1224PubMed
5.
go back to reference Adams C, August CS, Maguire H, Sladky JT (1995) Neuromuscular complications of bone marrow transplantation. Pediatr Neurol 12:58–61PubMedCrossRef Adams C, August CS, Maguire H, Sladky JT (1995) Neuromuscular complications of bone marrow transplantation. Pediatr Neurol 12:58–61PubMedCrossRef
6.
go back to reference Horowitz MM, Gale RP, Sondel PM, Goldman JM, Kersey J, Kolb HJ et al (1990) Graft-versus-leukemia reactions after bone marrow transplantation. Blood 75:555PubMed Horowitz MM, Gale RP, Sondel PM, Goldman JM, Kersey J, Kolb HJ et al (1990) Graft-versus-leukemia reactions after bone marrow transplantation. Blood 75:555PubMed
7.
go back to reference Moller E, Bohme J, Valugerdi MA, Ridderstad A, Olerup O (1990) Speculations on mechanisms of HLA associations with autoimmune diseases and the specificity of autoreactive T lymphocytes. Immunol Rev 118:5–19PubMedCrossRef Moller E, Bohme J, Valugerdi MA, Ridderstad A, Olerup O (1990) Speculations on mechanisms of HLA associations with autoimmune diseases and the specificity of autoreactive T lymphocytes. Immunol Rev 118:5–19PubMedCrossRef
8.
go back to reference Couriel DR, Beguelin GZ, Giralt S, Lima MD, Hosing C, Kharfan-Dabaja MA (2002) Chronic graft-versus-host disease manifesting as polymyositis: an uncommon presentation. Bone Marrow Transplant 30:543–546PubMedCrossRef Couriel DR, Beguelin GZ, Giralt S, Lima MD, Hosing C, Kharfan-Dabaja MA (2002) Chronic graft-versus-host disease manifesting as polymyositis: an uncommon presentation. Bone Marrow Transplant 30:543–546PubMedCrossRef
9.
go back to reference Megan S, Frederic P, Steven M, Susan L, Dina W, David W et al (1999) Mixed lymphohaemopoetic chimerism and graft-versus-lymphoma effects after non-myeloablative therapy and HLA-mismatched bone marrow transplantation. Lancet 353:1755–1759CrossRef Megan S, Frederic P, Steven M, Susan L, Dina W, David W et al (1999) Mixed lymphohaemopoetic chimerism and graft-versus-lymphoma effects after non-myeloablative therapy and HLA-mismatched bone marrow transplantation. Lancet 353:1755–1759CrossRef
10.
go back to reference Pier N, Dubowitz V (1983) Chronic graft versus host disease presenting with polymyositis. Br Med J 286:2024CrossRef Pier N, Dubowitz V (1983) Chronic graft versus host disease presenting with polymyositis. Br Med J 286:2024CrossRef
11.
go back to reference Leber B, Warlker IR, Rodriguez A, McBride JA, Carter R, Brain MC et al (1993) Reinduction of remission of chronic myeloid leukemia by donor leukocyte transfusion following relapse after bone marrow transplantation: recovery complicated by initial pancytopenia and late dermatomyositis. Bone Marrow Transplant 12:405–407PubMed Leber B, Warlker IR, Rodriguez A, McBride JA, Carter R, Brain MC et al (1993) Reinduction of remission of chronic myeloid leukemia by donor leukocyte transfusion following relapse after bone marrow transplantation: recovery complicated by initial pancytopenia and late dermatomyositis. Bone Marrow Transplant 12:405–407PubMed
12.
go back to reference Y Oshima, S Takahashi, H Nagayama, K Nishiwaki, Y Kobayashi, A Tojo et al (1997) Fatal GVHD demonstrating an involvement of respiratory muscle following donor leukocyte transfusion (DLT). Bone Marrow Transplant 19:737–740PubMedCrossRef Y Oshima, S Takahashi, H Nagayama, K Nishiwaki, Y Kobayashi, A Tojo et al (1997) Fatal GVHD demonstrating an involvement of respiratory muscle following donor leukocyte transfusion (DLT). Bone Marrow Transplant 19:737–740PubMedCrossRef
13.
go back to reference Silberstein L, Davies A, Kelsey S, Foran J, Murrell C, D’Cruz D et al (2001) Myositis, polyserositis with a large pericardial effusion and constrictive pericarditis as manifestations of chronic graft-versus-host disease after non-myeloablative peripheral stem cell transplantation and subsequent donor lymphocyte infusion. Bone Marrow Transplant 27:231–233PubMedCrossRef Silberstein L, Davies A, Kelsey S, Foran J, Murrell C, D’Cruz D et al (2001) Myositis, polyserositis with a large pericardial effusion and constrictive pericarditis as manifestations of chronic graft-versus-host disease after non-myeloablative peripheral stem cell transplantation and subsequent donor lymphocyte infusion. Bone Marrow Transplant 27:231–233PubMedCrossRef
14.
go back to reference Lin P-C, Hsiao L-T, Chen P-M (2005) Acute polymyositis after donor lymphocyte infusion. Eur J Haematol 74:166–168PubMedCrossRef Lin P-C, Hsiao L-T, Chen P-M (2005) Acute polymyositis after donor lymphocyte infusion. Eur J Haematol 74:166–168PubMedCrossRef
Metadata
Title
Polymyositis complicating donor lymphocyte infusion after stem cell transplantation for relapsed chronic myeloid leukemia: report of a case and review of literature
Authors
Feng-Cheng Liu
Chen-Hung Chen
Tsu-Yi Chao
Publication date
01-07-2007
Publisher
Springer-Verlag
Published in
Clinical Rheumatology / Issue 7/2007
Print ISSN: 0770-3198
Electronic ISSN: 1434-9949
DOI
https://doi.org/10.1007/s10067-006-0346-7

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