Abstract
A 34-year-old woman with diffuse mediastinal B cell large cell lymphoma presented 60 days after high-dose chemotherapy and autologous stem cell transplantation, and post-transplant immunotherapy with interleukin-2, with skin necrosis in the ears and extremities. Extensive work-up revealed the presence of cryofibrinogenemia and associated thrombotic vasculopathy. The patient was successfully treated with corticosteroids and therapeutic plasma exchange. However, she had recurrence of large cell lymphoma a few weeks later and died of progressive disease. Cryfibrinogenemia and skin necrosis may have occurred secondary to the imminent relapse, or as a rare complication of high-dose chemotherapy or treatment with interleukin-2. Bone Marrow Transplantation (2000) 26, 1343–1345.
This is a preview of subscription content, access via your institution
Access options
Subscribe to this journal
Receive 12 print issues and online access
$259.00 per year
only $21.58 per issue
Buy this article
- Purchase on Springer Link
- Instant access to full article PDF
Prices may be subject to local taxes which are calculated during checkout
Similar content being viewed by others
References
Smith SB, Arkin C . Cryofibrinogenemia: incidence, clinical correlations, and a review of the literature Am J Clin Pathol 1972 58: 524–530
Mckee PA, Kalbfleisch JM, Bird RM . Incidence and significance of cryoglobulinemia J Lab Clin Med 1963 61: 203–210
Euler HH, Zeuner RA, Beress R et al. Monoclonal cryo-antifibrinogenemia Arthritis Rheum 1996 39: 1066–1069
Beightler E, Diven DG, Sanchez RL et al. Thrombotic vasculopathy associated with cryofibrinogenemia J Am Acad Dermatol 1991 24: 342–345
Young GD, Clealand LG, McNeil JD . Cryofibrinogenemia: a case report Aust NZ Med 1991 21: 444–446
Jantunen E, Soppi E, Neittaanmaki H, Lahtinen R . Essential cryofibrinogenemia, leukocytoclastic vasculitis and chronic purpura J Intern Med 1993 234: 331–333
Zouboulis CC, Gollnick H, Weber S et al. Intravascular coagulation necrosis of the skin associated with cryofibrinogenemia, diabetes mellitus, and cardiolipin autoantibodies J Am Acad Dermatol 1991 25: 882–888
Falanga V, Kirsner RS, Eaglstein E et al. Stanozolol in treatment of leg ulcers due to cryofibrinogenaemia Lancet 1991 338: 347–348
Cohen S, Pittelkow MR, Su D . Cutaneous manifestations of cryoglobulinemia: clinical and histopatologic study of seventy-two patients J Am Acad Dermatol 1991 25: 21–27
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Shimoni, A., Körbling, M., Champlin, R. et al. Cryofibrinogenemia and skin necrosis in a patient with diffuse large cell lymphoma after high-dose chemotherapy and autologous stem cell transplantation. Bone Marrow Transplant 26, 1343–1345 (2000). https://doi.org/10.1038/sj.bmt.1702678
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1038/sj.bmt.1702678
Keywords
This article is cited by
-
Cryofibrinogenemia-Induced Cutaneous Ulcers: A Review and Diagnostic Criteria
American Journal of Clinical Dermatology (2017)
-
‘Agglutination and flocculation’ of stem cells collected by apheresis due to cryofibrinogen
Bone Marrow Transplantation (2004)