@article{3115214, title = "Mycophenolate mofetil as an alternate immunosuppressor for autoimmune lymphoproliferative syndrome", author = "Kossiva, Lydia and Theodoridou, Maria and Mostrou, Glykeria and and Vrachnou, Effie and Le Deist, Francoise and Rieux-Laucat, Frederick and and Kanariou, Maria G.", journal = "Journal of Pediatric Hematology / Oncology", year = "2006", volume = "28", number = "12", pages = "824-826", publisher = "Lippincott, Williams & Wilkins", issn = "1077-4114, 1536-3678", doi = "10.1097/MPH.0b013e31802d7503", keywords = "autoimmune lymphoproliferative syndrome; autoimmune cytopenia; corticosteroid; mycophenolate mofetil", abstract = "Autoimmune lymphoproliferative syndrome (ALPS) is a disorder due to a genetic defect concerning programmed cell death (apoptosis). Most patients are carriers of a heterozygous mutation affecting the TNFRSF6 (Fas). Treatment of autoimmune complications of ALPS includes corticosteroids, gamma-globulin infusions, and in refractory cases, splenectomy, cytostatic agents, and bone marrow transplantation. A 10-year-old boy with ALPS manifested by recurrent febrile episodes, lymphadenopathy, splenomegaly, and cytopenias refractory to corticosteroid therapy is presented. Treatment with mycophenolate mofetil, an immunosuppressive agent typically used in organ transplantation was initiated. This treatment was successful with resolution of thrombocytopenia, decrease in lymphadenopathy, and improvement of his general clinical condition for over 2 years of duration." }