Burkitt Lymphoma Preceded by Autoimmune Hemolytic Anemia due to Anti-D Antibody

Intern Med. 2016;55(16):2253-8. doi: 10.2169/internalmedicine.55.6564. Epub 2016 Aug 15.

Abstract

We herein report a rare case of Burkitt lymphoma (BL) preceded by autoimmune hemolytic anemia (AIHA) caused by autoantibodies against D antigen. After a partial response to AIHA with prednisolone (PSL) treatment for 7 months, the patient developed BL with a t(8;22)(q24;q11.2) chromosomal translocation. Intensive immunochemotherapy, including rituximab, led to a complete response (CR) of BL; however, anti-D antibody remained detectable in the plasma and antibody-dissociated solution from erythrocytes, thus continuous therapy with PSL was necessary even after achievement of the CR. BL with AIHA is extremely rare, with only one previously reported case in the literature.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Anemia, Hemolytic, Autoimmune / diagnostic imaging*
  • Anemia, Hemolytic, Autoimmune / drug therapy
  • Burkitt Lymphoma / blood*
  • Burkitt Lymphoma / complications
  • Female
  • Humans
  • Prednisolone / therapeutic use
  • Rho(D) Immune Globulin / blood*

Substances

  • RHO(D) antibody
  • Rho(D) Immune Globulin
  • Prednisolone