Indolent T-Lymphoblastic Proliferation in Idiopathic Multicentric Castleman Disease

Nabin Raj Karki, Ahmed Samire Arfa, Natasha Savage, Abdullah Kutlar

Research output: Contribution to journalArticlepeer-review

2 Scopus citations


Benign and polyclonal proliferation of immature T cells in a lymph node with preserved morphological architecture is called indolent T-lymphoblastic proliferation (iT-LBP). Although overall rare, they have been described in association with both benign and malignant disorders including Castleman disease. We report the first case of idiopathic multicentric Castleman disease associated with iT-LBP, all previous reports of iT-LBP in Castleman disease were unicentric. A 37-year-old-male presented with 3 months of fevers and B-symptoms and was found to have enlargement of multiple bilateral lymph node sites on both sides of diaphragm along with splenomegaly. Anemia, elevated C-reactive protein, hypoalbuminemia, and elevated interleukin-6 levels were present. Biopsy of a lymph node showed features suggestive of idiopathic multicentric Castleman disease and iT-LBP. Bone marrow biopsy was unremarkable. Siltuximab and steroids were used to treat the condition.

Original languageEnglish (US)
Pages (from-to)214-220
Number of pages7
JournalActa Haematologica
Issue number2
StatePublished - Mar 1 2022


  • Castleman disease
  • Indolent T-lymphoblastic proliferation
  • Lymphoproliferative disorder

ASJC Scopus subject areas

  • Hematology


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