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Table 2 Clinical features of TAFRO syndrome in eight previously reported cases and in our case

From: The first report of adolescent TAFRO syndrome, a unique clinicopathologic variant of multicentric Castleman’s disease

Case no.

Age/sex

Thrombocytopenia (PLT ×104/μl)

Anasarca

Reticulin fibrosis of the bone marrow

Renal dysfunction

Organomegaly

Hb (g/dl)

IgG (mg/dl)

Serum IL-6 (pg/ml) (normal range)

Plasma VEGF (pg/ml) (normal range)

Lymph node biopsy

Treatment

Outcome

Ref

1

47/F

1.5

+

+

No data

+

10.9

1046

No data

285 (<115)

No data

CHOP, PSL

Survival

[6]

2

56/M

1.9

+

+

+

+

10.7

863

7.2 (<4)

31 (<115)

No data

PSL, IVIG, CyA

Survival

3

49/M

1.0

+

+

No data

+

11.7

1057

64.9 (<4)

104 (<115)

HV-type of CD

PSL, IVIG

Death (MOF)

4

49/F

1.7

+

+

+

+

6.2

2611

11 (No data)

330 (No data)

unclear

DEX, PSL, CyA

Survival

[2]

5

43/F

<3.0

+

No data

+

+

12.6

965

45.6 (<4)

665 (<115)

HV-type of CD

mPSL, PSL, RTX, TCZ

Survival

[3]

6

47/F

3.9

+

+

+

+

9.1

1426

21.9 (No data)

No data

PC-type of CD

PSL, mPSL, TCZ

Survival

[4]

7

57/F

1.3

+

-

+

+

7.1

1860

65.5 (No data)

91 (No data)

unclear

mPSL, PSL, CHOEP

Death (Sepsis)

[5]

8

73/M

2.4

+

+

+

+

7.6

7080

49 (No data)

25 (No data)

Mixed type of CD

mPSL, PSL

Death (MOF)

Current case

15/M

3.0

+

+

+

+

7.2

729

29 (<3)

178 (<38.3)

Mixed type of CD

mPSL, PSL, TCZ, IVIG

Survival

 
  1. CD: Castleman’s disease; CHOEP: cyclophosphamide, doxorubicin, vincristine, etoposide and prednisolone; CHOP: cyclophosphamide, doxorubicin, vincristine and prednisolone; CyA: cyclosporine A; Hb: hemoglobin; HV: hyaline vascular type; IgG: immunoglobulin G; IL-6: interleukin-6; IVIG: intravenous immunoglobulin; MOF: multiple organ failure; mPSL: methylprednisolone; PC: plasma cell type; PLT: platelet; PSL: prednisolone; RTX: rituximab; TCZ: tocilizumab; VEGF: vascular endothelial cell growth factor; Ref: reference number.