Hemophagocytic Lymphohistiocytosis Complicated by Acute Respiratory Distress Syndrome and Multiorgan Failure
Hemophagocytic lymphohistiocytosis (HLH) is a rare and life-threatening condition that is characterized by an overactive response of the immune system with excessive production of proinflammatory cytokines. Initial presentation of this condition often mimics and overlaps with many diseases including...
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SAGE Publishing
2021
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oai:doaj.org-article:546593dbc79d455d88678b868c35e4562021-12-02T07:34:47ZHemophagocytic Lymphohistiocytosis Complicated by Acute Respiratory Distress Syndrome and Multiorgan Failure2324-709610.1177/23247096211052180https://doaj.org/article/546593dbc79d455d88678b868c35e4562021-11-01T00:00:00Zhttps://doi.org/10.1177/23247096211052180https://doaj.org/toc/2324-7096Hemophagocytic lymphohistiocytosis (HLH) is a rare and life-threatening condition that is characterized by an overactive response of the immune system with excessive production of proinflammatory cytokines. Initial presentation of this condition often mimics and overlaps with many diseases including infections, sepsis, and multiorgan failure syndrome, which makes diagnosis the diagnosis of HLH challenging. Herein is described a case of a patient who developed acute respiratory distress syndrome and multiple organ failure related to HLH in a setting of probable viral pneumonia. The diagnosis was established based on laboratory and bone marrow biopsy findings. This patient was treated with the standard chemotherapy regimen of intravenous dexamethasone, etoposide in addition to intrathecal methotrexate for central nervous system involvement.Louisa Liu MDHanad Bashir MDHassan Awada MDJafar Alzubi MDJason Lane MDSAGE PublishingarticleMedicine (General)R5-920PathologyRB1-214ENJournal of Investigative Medicine High Impact Case Reports, Vol 9 (2021) |
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DOAJ |
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EN |
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Medicine (General) R5-920 Pathology RB1-214 |
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Medicine (General) R5-920 Pathology RB1-214 Louisa Liu MD Hanad Bashir MD Hassan Awada MD Jafar Alzubi MD Jason Lane MD Hemophagocytic Lymphohistiocytosis Complicated by Acute Respiratory Distress Syndrome and Multiorgan Failure |
description |
Hemophagocytic lymphohistiocytosis (HLH) is a rare and life-threatening condition that is characterized by an overactive response of the immune system with excessive production of proinflammatory cytokines. Initial presentation of this condition often mimics and overlaps with many diseases including infections, sepsis, and multiorgan failure syndrome, which makes diagnosis the diagnosis of HLH challenging. Herein is described a case of a patient who developed acute respiratory distress syndrome and multiple organ failure related to HLH in a setting of probable viral pneumonia. The diagnosis was established based on laboratory and bone marrow biopsy findings. This patient was treated with the standard chemotherapy regimen of intravenous dexamethasone, etoposide in addition to intrathecal methotrexate for central nervous system involvement. |
format |
article |
author |
Louisa Liu MD Hanad Bashir MD Hassan Awada MD Jafar Alzubi MD Jason Lane MD |
author_facet |
Louisa Liu MD Hanad Bashir MD Hassan Awada MD Jafar Alzubi MD Jason Lane MD |
author_sort |
Louisa Liu MD |
title |
Hemophagocytic Lymphohistiocytosis Complicated by Acute Respiratory Distress Syndrome and Multiorgan Failure |
title_short |
Hemophagocytic Lymphohistiocytosis Complicated by Acute Respiratory Distress Syndrome and Multiorgan Failure |
title_full |
Hemophagocytic Lymphohistiocytosis Complicated by Acute Respiratory Distress Syndrome and Multiorgan Failure |
title_fullStr |
Hemophagocytic Lymphohistiocytosis Complicated by Acute Respiratory Distress Syndrome and Multiorgan Failure |
title_full_unstemmed |
Hemophagocytic Lymphohistiocytosis Complicated by Acute Respiratory Distress Syndrome and Multiorgan Failure |
title_sort |
hemophagocytic lymphohistiocytosis complicated by acute respiratory distress syndrome and multiorgan failure |
publisher |
SAGE Publishing |
publishDate |
2021 |
url |
https://doaj.org/article/546593dbc79d455d88678b868c35e456 |
work_keys_str_mv |
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_version_ |
1718399335810465792 |