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Blood, 1 March 2004, Vol. 103, No. 5, pp. 1632-1634.
Prepublished online as a Blood First Edition Paper on November 13, 2003; DOI 10.1182/blood-2003-05-1721.

Submitted May 28, 2003
Accepted October 24, 2003
Remission of HHV-8 and HIV-associated multicentric Castleman's disease with ganciclovir treatment
Corey Casper*, W G Nichols, Meei-Li Huang, Lawrence Corey, and Anna Wald
Department of Medicine, University of Washington, Seattle, WA, USA; Program in Infectious Disease, Fred Hutchinson Cancer Research Center, Seattle, WA, USA
Department of Laboratory Medicine, University of Washington, Seattle, WA, USA; Department of Epidemiology, University of Washington, Seattle, WA, USA
* Corresponding author; email: ccasper{at}u.washington.edu.
Multicentric Castleman's Disease (MCD) is a lymphoproliferative disorder associated with human herpesvirus 8 (HHV-8) infection among persons with Human Immunodeficiency Virus (HIV) infection. Treatment often includes chemotherapy, and progression to non-Hodgkin's lymphoma frequently occurs. MCD is characterized in part by active HHV-8 replication, and many of the symptoms of MCD may be attributable to viral gene products. We describe the effect of ganciclovir on the clinical and virologic course of MCD in a series of three case reports. Two patients experienced a reduction in the frequency of episodic flares of MCD and detectable HHV-8 DNA with intravenous or oral ganciclovir, while the third patient recovered from an acute episode of renal and respiratory failure with intravenous ganciclovir therapy. These data provide in vivo evidence for the utility of antiviral agents against HHV-8 in the management of MCD.

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