Clinical characteristics of 5 children with Castleman's disease and review of literature

OBJECTIVE: To investigate the clinical characteristics of children with Castleman's disease and to improve doctors' awareness of this disease

Bibliographische Detailangaben
Veröffentlicht in:Zhonghua er ke za zhi = Chinese journal of pediatrics. - 1960. - 48(2010), 8 vom: 15. Aug., Seite 625-8
1. Verfasser: Huang, Shuang (VerfasserIn)
Weitere Verfasser: Zhou, Chun-ju, Jin, Mei, Jin, Ling, Zhang, Rui, Zhang, Yong-hong
Format: Aufsatz
Sprache:Chinese
Veröffentlicht: 2010
Zugriff auf das übergeordnete Werk:Zhonghua er ke za zhi = Chinese journal of pediatrics
Schlagworte:Case Reports Journal Article Review
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100 1 |a Huang, Shuang  |e verfasserin  |4 aut 
245 1 0 |a Clinical characteristics of 5 children with Castleman's disease and review of literature 
264 1 |c 2010 
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500 |a Date Completed 24.03.2011 
500 |a Date Revised 16.11.2017 
500 |a published: Print 
500 |a Citation Status MEDLINE 
520 |a OBJECTIVE: To investigate the clinical characteristics of children with Castleman's disease and to improve doctors' awareness of this disease 
520 |a METHODS: Clinical characteristics of 5 cases with Castleman's disease were observed and analyzed and relevant reports in literature were reviewed 
520 |a RESULTS: (1) All the five patients' histories were long, and the first symptoms of them were painless lymphnode enlargement, and all of them were at school age; 3 patients' abdominal lymphnodes were enlarged, mediastinum lymphnodes enlarged in 3 cases, cervical lymphnodes were involved in 3 cases; (2) The clinical subtypes: the disease in 3 cases was localized Castleman's disease (LCD), all of their pathological subtype was hyaline vascular variant (HV). The rest of them were multicentric Castleman's disease (MCD), whose pathology was plasma cell variant (PC), and both of them had a febrile symptoms; (3) The white blood cells, C-reactive protein and ferritin levels were all elevated to different extents. Four of them had viral infections, and their cellular immune function was abnormal; (4) The LCD patients' prognosis was good after the complete resection. There is no standard therapy for MCD, the available therapies include antiviral, immune modulatory regimens, CD20 B cell monoclonal antibody and chemotherapy, but the prognosis was worse than that of LCD 
520 |a CONCLUSIONS: Castleman's disease is rare in children, which can be misdiagnosed because it has no specific manifestations. The prognosis depends on the subtype 
650 4 |a Case Reports 
650 4 |a Journal Article 
650 4 |a Review 
700 1 |a Zhou, Chun-ju  |e verfasserin  |4 aut 
700 1 |a Jin, Mei  |e verfasserin  |4 aut 
700 1 |a Jin, Ling  |e verfasserin  |4 aut 
700 1 |a Zhang, Rui  |e verfasserin  |4 aut 
700 1 |a Zhang, Yong-hong  |e verfasserin  |4 aut 
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