エイズと臨床研究のジャーナル

Complete Remission of Multicentric Castleman's Disease developed in a HIV+ Patient after the Start of HAART

Abstract

Alessandro Perretti, Valentina Zuccaro, Antonello Malfitano, Giuseppe Barbaro and Giorgio Barbarini

In August 2010, we diagnosed a Multicentric Castleman’s Disease (MCD) in a HIV+ patient with generalized lymphadenopathy, splenomegaly and pericardial effusion. A few days before the onset of symptoms, the patient had started anti-retroviral therapy with Abacavir/Lamivudine (ABC/3TC) +Ritonavir-boosted Atazanavir (ATV/r). During the hospitalization he developed a severe pancytopenia with liver failure, and he started immediately the Therapy with steroids, Ganciclovir, and Rituximab. At the 46 months follow-up, the patient is asymptomatic, his biochemical values are essentially normal with a complete regression of the superficial and deep lymphadenopathies.