Perforin gene mutations in adult-onset hemophagocytic lymphohistiocytosis.

Abstract:

:Perforin gene (PRF1) mutations cause the primary form of hemophagocytic lymphohistiocytosis (HLH). We report a genetic defect of PRF1 in a 62-year-old Japanese man with recurrent episodes of HLH. Sequencing of PRF1 from both peripheral blood mononuclear cells and nail clippings showed compound heterozygous mutation, including deletion of two base pairs at codons 1090 and 1091 (1090-1091delCT) and guanine-to-adenine conversion at nucleotide position 916 (916GAEA). Although primary HLH has been detected in infants and children, genetic mutation of PRF1 or other genes should be considered a differential diagnosis of HLH even in the elderly.

journal_name

Haematologica

journal_title

Haematologica

authors

Nagafuji K,Nonami A,Kumano T,Kikushige Y,Yoshimoto G,Takenaka K,Shimoda K,Ohga S,Yasukawa M,Horiuchi H,Ishii E,Harada M

doi

10.3324/haematol.11233

subject

Has Abstract

pub_date

2007-07-01 00:00:00

pages

978-81

issue

7

eissn

0390-6078

issn

1592-8721

journal_volume

92

pub_type

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