Reverse Seroconversion of Hepatitis B following Allogenic Hematopoietic Stem Cell Transplantation from a Hepatitis Immune Donor in a Multiple Myeloma Patient.
10.5045/kjh.2008.43.2.122
- Author:
Bo Ran KWON
1
;
Jung Ha MOK
;
Jung Ho BAE
;
Hee Yun SEOL
;
Young Mi SEOL
;
Moo Kon SONG
;
Young Jin CHOI
;
Ho Jin SHIN
;
Joo Seop CHUNG
;
Goon Jae CHO
Author Information
1. Department of Internal Medicine, Pusan National University School of Medicine, Busan, Korea. hemon@pusan.ac.kr
- Publication Type:Case Report
- Keywords:
Hepatitis B virus;
Seroconversion;
Multiple myeloma;
Stem cell transplantation
- MeSH:
Antigens, Surface;
Biopsy;
Hematopoietic Stem Cell Transplantation;
Hematopoietic Stem Cells;
Hepatitis;
Hepatitis B;
Hepatitis B Surface Antigens;
Hepatitis B virus;
Humans;
Liver;
Liver Function Tests;
Male;
Multiple Myeloma;
Peripheral Blood Stem Cell Transplantation;
Siblings;
Stem Cell Transplantation;
Tissue Donors;
Transaminases;
Transplants
- From:Korean Journal of Hematology
2008;43(2):122-125
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A 52-yr-old male with multiple myeloma underwent autologous stem cell transplantation in June 2002. In August 2004, the multiple myeloma had recurred. The patient received allogenic stem cell transplantation in September 2005. Before undergoing transplantation, the presence of HBsAb and the absence of HBsAg were noted. The patient underwent allogenic peripheral blood stem cell transplantation (PBSCT) from a sibling donor who was hepatitis surface antibody (HBsAb) positive and hepatitis surface antigen (HBsAg) negative. Nineteen months after the PBSCT, the liver function tests showed elevation of the aminotransferases. The patient was HBsAg positive and HBsAb negative. The liver biopsy specimen revealed hepatitis. The reactivation of a hepatitis B virus infection, in a hepatitisB immune patient, referred to as reverse seroconversion, is a rare complication of hematopoietic stem cell transplantation.
