Hemophagocytic lymphohistiocytosis in adults: An under recognized entity

Hemophagocytic lymphohistiocytosis (HLH) is a syndrome of severe immune activation with macrophage and T-cell infiltration resulting in, multi organ damage. HLH may be primary or secondary in etiology. A high index of suspicion is essential for early diagnosis and treatment. Diagnostic criteria need...

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Detalles Bibliográficos
Autores principales: Shah, Abdul Rashid, Muzzafar, Tariq, Assi, Rita, Schellingerhout, Dawid, Estrov, Zeev, Tamamyan, Gevorg, Kantarjian, Hagop, Daver, Naval
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2016
Materias:
Regular Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5219626/
https://www.ncbi.nlm.nih.gov/pubmed/28070498
http://dx.doi.org/10.1016/j.bbacli.2016.12.002
Descripción
Sumario:Hemophagocytic lymphohistiocytosis (HLH) is a syndrome of severe immune activation with macrophage and T-cell infiltration resulting in, multi organ damage. HLH may be primary or secondary in etiology. A high index of suspicion is essential for early diagnosis and treatment. Diagnostic criteria need to be refined and newer treatment options to be explored in order to improve survival especially in adult HLH and malignancy-associated HLH (M-HLH). We report a case of malignancy associated HLH (M-HLH) in adult treated on one of the only FDA-approved protocols for adult HLH to highlight the diagnostic and therapeutic challenges of this disease entity.

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