Autoimmune thrombocytopenia in non-Hodgkin's lymphomas

Haematologica. 2008 Mar;93(3):447-50. doi: 10.3324/haematol.11934. Epub 2008 Feb 20.

Abstract

Autoimmune thrombocytopenia is a common immunehematologic complication in non-Hodgkin's lymphomas and may complicate the treatment. We analyzed an original series from our institute as well as published cases of non-Hodgkin's lymphomas (excluding chronic lymphocytic leukemia) associated with autoimmune thrombocytopenia with regard to demographic factors, prevalence in non-Hodgkin's lymphoma subtypes and treatment outcome. The male/female ratio is 1.75. Half of the cases occurred prior to diagnosis of lymphoma. Chemotherapy is the best treatment in many non-Hodgkin's lymphomas patients with autoimmune thrombocytopenia compared with standard treatment of autoimmune thrombocytopenia. Splenectomy is effective in splenic marginal zone lymphoma. Autoimmune thrombocytopenia in patients with non-Hodgkin's lymphomas is potentially life-threatening and difficult to treat.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Antineoplastic Agents / therapeutic use
  • Child
  • Combined Modality Therapy
  • Comorbidity
  • Female
  • Humans
  • Leukemia, Hairy Cell / drug therapy
  • Leukemia, Hairy Cell / epidemiology
  • Lymphoma, Non-Hodgkin / drug therapy
  • Lymphoma, Non-Hodgkin / epidemiology*
  • Lymphoma, Non-Hodgkin / immunology
  • Lymphoma, Non-Hodgkin / surgery
  • Male
  • Middle Aged
  • Multiple Myeloma / epidemiology
  • Peripheral Blood Stem Cell Transplantation
  • Postoperative Complications / epidemiology
  • Prevalence
  • Purpura, Thrombocytopenic, Idiopathic / epidemiology*
  • Splenectomy
  • Treatment Outcome
  • Waldenstrom Macroglobulinemia / epidemiology

Substances

  • Antineoplastic Agents