HAEM5:Systemic EBV-positive T-cell lymphoma of childhood: Difference between revisions

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== Genetic Diagnostic Testing Methods ==
== Genetic Diagnostic Testing Methods ==
WHO 5th edition ''essential'' diagnostic criteria include:<ref name=":3" /><ref name=":6" />


Acute presentation with fever and systemic symptoms
* WHO 5th edition ''essential'' diagnostic criteria include:<ref name=":3" /><ref name=":6" />
** Acute presentation with fever and systemic symptoms
** Multiorgan infiltration by atypical T-cells
** EBV-positivity exclusion of known immunodeficiency


Multiorgan infiltration by atypical T-cells
* WHO 5th edition ''desirable'' diagnostic criteria include:<ref name=":3" /><ref name=":6" />
 
** Clonal TCR-gene rearrangement
EBV-positivity exclusion of known immunodeficiency
** Hemophagocytic lymphohistiocytosis (HLH)
 
** Hepatosplenomegaly
WHO 5th edition ''desirable'' diagnostic criteria include:<ref name=":3" /><ref name=":6" />
* TCR-gene rearrangements can be detected via PCR or NGS methods. Of note, T-cell clonality can also be detected in EBV-associated HLH and other EBV-associated disorders.<ref name=":10" />
 
Clonal TCR-gene rearrangement
 
Hemophagocytic lymphohistiocytosis (HLH)
 
Hepatosplenomegaly
 
 
 
TCR-gene rearrangements can be detected via PCR or NGS methods. Of note, T-cell clonality can also be detected in EBV-associated HLH and other EBV-associated disorders.<ref name=":10" />


== Familial Forms ==
== Familial Forms ==