{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T11:34:41Z","timestamp":1782128081411,"version":"3.54.5"},"reference-count":21,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2019,1,20]],"date-time":"2019-01-20T00:00:00Z","timestamp":1547942400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Transplantation"],"published-print":{"date-parts":[[2019,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>PTLD is a rare but potentially life\u2010threatening condition, which shows a higher prevalence in children than in adults. From 129 children who underwent LT, we reported 5 cases with biopsy\u2010proven PTLD at a single teaching hospital. Four patients had shared clinical presentations including fever, lymphadenopathy, and splenomegaly. They were noted to be given a prolonged course of IS due to the management of comorbid complications such as acute cellular rejection or severe food allergy or eosinophilic gastrointestinal disease. The other one patient presented with upper gastrointestinal bleeding from gastric mass during an early post\u2010transplantation period. Notably, hypoalbuminemia was noted in all reported patients. Similar to previous studies, both EBV serology mismatch between the donor and recipient with high EBV viral load were noted in all except one case, whose EBV serology was unknown before LT. At least one episode of CMV reactivation was also observed in 3 of 5 patients prior to the PTLD diagnosis. The histopathology revealed 1 of 5 early PTLD, 1 of 5 polymorphic PTLD, and 3 of 5 monomorphic PTLD. The treatment included IS withdrawal, chemotherapy, and\/or rituximab. One patient died of multiorgan dysfunction, one remains in complete remission, and three patients are either still on treatment or await response evaluation. Even though most of our reported PTLD cases had shared manifestations with fever, lymphadenopathy, splenomegaly, EBV serology mismatch, and high EBV viral load, various initial presentations such as respiratory symptoms, hypoalbuminemia, and prolonged use of IS from other causes such as significant food allergy were noted.<\/jats:p>","DOI":"10.1111\/petr.13357","type":"journal-article","created":{"date-parts":[[2019,1,20]],"date-time":"2019-01-20T18:45:24Z","timestamp":1548009924000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Various initial presentations of Epstein\u2010Barr virus infection\u2010associated post\u2010transplant lymphoproliferative disorder in pediatric liver transplantation recipients: Case series and literature review"],"prefix":"10.1111","volume":"23","author":[{"given":"Lila","family":"Simakachorn","sequence":"first","affiliation":[{"name":"Faculty of Medicine Ramathibodi Hospital, Department of Pediatrics, Division of Gastroenterology Mahidol University Bangkok Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9374-8805","authenticated-orcid":false,"given":"Pornthep","family":"Tanpowpong","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Ramathibodi Hospital, Department of Pediatrics, Division of Gastroenterology Mahidol University Bangkok Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chatmanee","family":"Lertudomphonwanit","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Ramathibodi Hospital, Department of Pediatrics, Division of Gastroenterology Mahidol University Bangkok Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Usanarat","family":"Anurathapan","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Ramathibodi Hospital, Department of Pediatrics, Division of Hematology and Oncology Mahidol University Bangkok Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samart","family":"Pakakasama","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Ramathibodi Hospital, Department of Pediatrics, Division of Hematology and Oncology Mahidol University Bangkok Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suradej","family":"Hongeng","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Ramathibodi Hospital, Department of Pediatrics, Division of Hematology and Oncology Mahidol University Bangkok Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6651-2282","authenticated-orcid":false,"given":"Suporn","family":"Treepongkaruna","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Ramathibodi Hospital, Department of Pediatrics, Division of Gastroenterology Mahidol University Bangkok Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pornpimon","family":"Phuapradit","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Ramathibodi Hospital, Department of Pediatrics, Division of Gastroenterology Mahidol University Bangkok Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,1,20]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"crossref","unstructured":"SingaviAK HarringtonAM FenskeTS. 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