Epstein-Barr virus-induced posttransplant lymphoproliferative disease (EBV-
PTLD) continues to be a major complication after solid organ transplantatio
n in high-risk patients. Despite the identification of risk factors that pr
edispose patients to develop EBV-PTLD, limitations in our knowledge of its
pathogenesis, variable criteria for establishing the diagnosis, and lack of
randomized studies addressing the prevention and treatment of EBV-PTLD ham
per the optimal management of this transplant complication. This review sum
marizes the current knowledge of EBV-PTLD and, as a result of two separate
international meetings on this topic, and provides recommendations for futu
re areas of study.