Salvage therapy for refractory hemophagocytic lymphohistiocytosis: A review of the published experience.

Abstract:

:Hemophagocytic lymphohistioytosis (HLH) is a severe, life-threatening hyperinflammatory disorder that requires prompt diagnosis and treatment. Approximately, 25-50% of patients with HLH fail to achieve remission with established regimens that include dexamethasone and etoposide, or methylprednisolone and antithymocyte globulin (ATG). Some of these patients may require salvage or alternative therapeutic approaches. There is a paucity of literature regarding effective salvage therapies for patients with refractory HLH. In this review, we summarize the published experience of four therapeutics reported for using at least two patients with HLH refractory to dexamethasone and etoposide or methylprednisolone and ATG.

journal_name

Pediatr Blood Cancer

journal_title

Pediatric blood & cancer

authors

Marsh RA,Jordan MB,Talano JA,Nichols KE,Kumar A,Naqvi A,Vaiselbuh SR,Histiocyte Society Salvage Therapy Working Group.

doi

10.1002/pbc.26308

subject

Has Abstract

pub_date

2017-04-01 00:00:00

issue

4

eissn

1545-5009

issn

1545-5017

journal_volume

64

pub_type

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