TY - JOUR
T1 - Reverse seroconversion of hepatitis B virus after allogeneic hematopoietic stem cell transplantation in the absence of chronic graft-versus-host disease
AU - Oshima, Kumi
AU - Sato, Miki
AU - Okuda, Shinya
AU - Terasako, Kiriko
AU - Nakasone, Hideki
AU - Kako, Shinichi
AU - Yamazaki, Rie
AU - Tanaka, Yukie
AU - Tanihara, Aki
AU - Higuchi, Takakazu
AU - Nishida, Junji
AU - Nakamura, Ikuo
AU - Yoshida, Yukio
AU - Kanda, Yoshinobu
N1 - Copyright:
Copyright 2012 Elsevier B.V., All rights reserved.
PY - 2009
Y1 - 2009
N2 - The appearance of hepatitis B surface antigen (HBsAg) in patients previously positive for antibody to this antigen (HBsAb) is called reverse seroconversion, a rare complication after hematopoietic stem cell transplantation (HSCT), which occurs almost exclusively after HSCT from an HBsAb-negative donor and the development of chronic graft-versus-host disease (CGVHD). However, we experienced a patient who developed reverse seroconversion 23 months after unrelated HSCT even in the absence of immunosuppressants use or CGVHD. Serum immunoglobulin level was persistently normal. Therefore, all HBsAb-positive recipients should be considered to be at risk for HBV reactivation, even in patients without any risk factors.
AB - The appearance of hepatitis B surface antigen (HBsAg) in patients previously positive for antibody to this antigen (HBsAb) is called reverse seroconversion, a rare complication after hematopoietic stem cell transplantation (HSCT), which occurs almost exclusively after HSCT from an HBsAb-negative donor and the development of chronic graft-versus-host disease (CGVHD). However, we experienced a patient who developed reverse seroconversion 23 months after unrelated HSCT even in the absence of immunosuppressants use or CGVHD. Serum immunoglobulin level was persistently normal. Therefore, all HBsAb-positive recipients should be considered to be at risk for HBV reactivation, even in patients without any risk factors.
KW - Graft-versus-host disease
KW - Hematopoietic stem cell transplantation
KW - Hepatitis B virus
KW - Reverse seroconversion
UR - http://www.scopus.com/inward/record.url?scp=66949138644&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=66949138644&partnerID=8YFLogxK
U2 - 10.1179/102453309X385223
DO - 10.1179/102453309X385223
M3 - Article
C2 - 19298717
AN - SCOPUS:66949138644
SN - 1024-5332
VL - 14
SP - 73
EP - 75
JO - Hematology
JF - Hematology
IS - 2
ER -