International definition of iMCD-TAFRO: future perspectives

J Clin Exp Hematop. 2022 Jun 28;62(2):73-78. doi: 10.3960/jslrt.21037. Epub 2022 Apr 27.

Abstract

Since thrombocytopenia, anasarca, fever, reticulin fibrosis, renal insufficiency, and organomegaly (TAFRO) syndrome was first proposed in 2010, there has been considerable progress in this area, particularly regarding its association with idiopathic multicentric Castleman disease (iMCD). TAFRO syndrome is a heterogeneous category with a constellation of symptoms that can develop in the setting of infection, rheumatologic disorder, malignancy, and iMCD. Now, iMCD with TAFRO symptoms is subtyped as iMCD-TAFRO. However, confusion between TAFRO syndrome and iMCD-TAFRO remains. In this article, we discuss the current understanding and future research agenda of TAFRO syndrome and iMCD-TAFRO from the perspective of its new validated international definition.

Keywords: TAFRO syndrome; iMCD-TAFRO; idiopathic multicentric Castleman disease.

MeSH terms

  • Castleman Disease* / diagnosis
  • Castleman Disease* / pathology
  • Edema / diagnosis
  • Fever
  • Humans
  • Renal Insufficiency*
  • Thrombocytopenia* / pathology

Supplementary concepts

  • Multi-centric Castleman's Disease