Retrospective study of the prevalence and progression of monoclonal gammopathy in HIV positive versus HIV negative patients

被引:6
|
作者
Jou, Erin [1 ]
Gligich, Oleg [1 ]
Chan, Alvita C. Y. [2 ,3 ]
Mohan, Diwakar [4 ]
Felsen, Uriel R. [5 ]
Ayyappan, Sabarish [6 ]
Billett, Henny H. [1 ]
Hui, Edwin P. [2 ,3 ]
Chan, Anthony T. [2 ,3 ]
Raghupathy, Radha [2 ,3 ]
机构
[1] Montefiore Med Ctr, Albert Einstein Coll Med, Dept Oncol, Div Hematol, Bronx, NY 10467 USA
[2] Chinese Univ Hong Kong, Hong Kong Canc Inst, Partner State Key Lab Oncol South China, Sir YK Pao Ctr Canc,Dept Clin Oncol, Hong Kong, Hong Kong, Peoples R China
[3] Chinese Univ Hong Kong, Prince Wales Hosp, Hong Kong, Hong Kong, Peoples R China
[4] Johns Hopkins Bloomberg Sch Publ Hlth, Dept Int Hlth, Baltimore, MD USA
[5] Montefiore Med Ctr, Albert Einstein Coll Med, Dept Internal Med, Div Infect Dis, Bronx, NY 10467 USA
[6] Univ Hosp Case Med Ctr, Dept Hematol & Oncol, Cleveland, OH USA
关键词
HIV; hematological malignancy; oligoclonal proteins; monoclonal proteins; paraproteins; OLIGOCLONAL IMMUNOGLOBULINS; LONG-TERM; FOLLOW-UP; PARAPROTEINEMIA; SERUM; AIDS; MYELOMA;
D O I
10.1002/hon.2247
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The significance of HIV associated paraproteins and their risk of progression to hematological malignancies remains unclear. We compared the development of hematological malignancies among HIV+ (n=266) and HIV- (n=537) patients with monoclonal gammopathies. HIV+ and HIV- patients with a positive serum protein electrophoresis test (SPEP) were studied. HIV+ SPEP+ were more likely to have faint and oligoclonal paraproteins (F-SPEP) and less likely to have discrete bands (D-SPEP) compared to HIV- SPEP+. The incidence of hematological malignancies was significantly lower in the HIV+ compared to the HIV- (6.4% vs 15.4%, p<0.0002). Upon subgroup analysis, the lower incidence of hematological malignancies was noted for HIV+ patients with F-SPEP but not for those with D-SPEP. Copyright (c) 2015 John Wiley & Sons, Ltd.
引用
收藏
页码:64 / 68
页数:5
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