Lymphomatoid Granulomatosis: A Case Report and Literature Review of a Rare Pediatric Disorder From Pakistan

J Pediatr Hematol Oncol. 2023 Oct 1;45(7):e927-e930. doi: 10.1097/MPH.0000000000002730. Epub 2023 Aug 1.

Abstract

Background: Lymphomatoid granulomatosis (LYG) is a rare pediatric disorder driven by the Epstein-Barr virus and is considered as a part of the lymphoma spectrum. It is mostly associated with immune deficiency and patients on immunosuppressive therapy, especially with acute leukemia. It can present as a multisystemic disease, diagnosed on biopsy as atypical lymphocytes with an angiocentric pattern against a background composed of histiocytes, neutrophils, and extensive T-cell infiltration.

Observation: We report 3 cases of children with Lymphomatoid granulomatosis, one with Langerhans cell histiocytosis.

Conclusion: Combination chemotherapy was used for the treatment of Lymphomatoid granulomatosis; however, the prognosis is guarded. One of 3 patients is alive and in remission on the last follow-up visit at 15 months.

Publication types

  • Review
  • Case Reports

MeSH terms

  • Child
  • Epstein-Barr Virus Infections* / complications
  • Epstein-Barr Virus Infections* / pathology
  • Herpesvirus 4, Human
  • Humans
  • Lymphomatoid Granulomatosis* / diagnosis
  • Lymphomatoid Granulomatosis* / drug therapy
  • Lymphomatoid Granulomatosis* / pathology
  • Pakistan
  • T-Lymphocytes / pathology