Abstract:
:Hemophagocytic Lymphohistiocytosis (HLH) is an indicator of an exaggerated immune response and eventually adverse outcomes. This study aimed to investigate the clinical and laboratory features and outcomes of patients with HLH. The medical records of 26 HLH adult patients (≥ 16 years of age) were retrospectively analyzed. Gender, age, the duration of fever, time to diagnosis, etiology and laboratory data were extracted from the records. The mean age was 38 ± 18 years, and 15 (58%) patients were female. A total of nine cases had infectious diseases; four cases had rheumatologic diseases, three cases had hematological malignancies while nine cases could not have a definitive diagnosis. The median time to detection of HLH was 20 days (IQR: 8-30 d). Of the 25 patients, 11 (44%) died. The erythrocyte sedimentation rates of the surviving and non-surviving patients were 39 ± 22 mm/h and 15 ± 13 mm/h, respectively. When a long-lasting fever is complicated by bicytopenia or pancytopenia (especially), clinicians should promptly consider the possibility of HLH syndrome to improve patients' prognosis.
journal_name
Mediterr J Hematol Infect Disauthors
Arslan F,Alp S,Büyükasık Y,Ozkan MC,Şahin F,Basaran S,Cagatay AA,Eraksoy ÖH,Aksu K,Ertunç B,Korten V,Ceylan B,Mert Adoi
10.4084/MJHID.2018.047subject
Has Abstractpub_date
2018-09-01 00:00:00pages
e2018047issue
1issn
2035-3006pii
mjhid-10-1-e2018047journal_volume
10pub_type
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