Hemophagocytic Lymphohistiocytosis Associated With Hemolytic Uremic Syndrome in a Child: A Case Report and Systematic Literature Review

被引:2
作者
Tas, Nesrin [1 ]
Gokceoglu, Arife U. [1 ]
Yayla, Burcu C. C. [2 ]
Ozcan, Aysegul [3 ]
Sac, Rukiye U. [4 ]
Vezir, Emine [5 ]
Alioglu, Bulent [6 ]
机构
[1] Univ Hlth Sci Ankara Training & Res Hosp, Dept Pediat Nephrol, Ankara, Turkey
[2] Univ Hlth Sci Ankara Training & Res Hosp, Dept Pediat Infect Dis, Ankara, Turkey
[3] Univ Hlth Sci Ankara Training & Res Hosp, Dept Genet, Ankara, Turkey
[4] Univ Hlth Sci Ankara Training & Res Hosp, Dept Gen Pediat, Ankara, Turkey
[5] Univ Hlth Sci Ankara Training & Res Hosp, Dept Allergy & Immunol, Ankara, Turkey
[6] Univ Hlth Sci Ankara Training & Res Hosp, Dept Hematol, Ankara, Turkey
关键词
hemolytic-uremic syndrome; lymphohistiocytosis; hemophagocytic; anemia; hemolytic; hepatomegaly; splenomegaly; MACROPHAGE ACTIVATION SYNDROME; THROMBOTIC MICROANGIOPATHY; INFECTION; DISEASE; FEVER;
D O I
10.1097/MPH.0000000000002265
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Hemophagocytic lymphohistiocytosis (HLH) is a life-threatening disorder resulting from excessive activation and nonmalignant proliferation of T-lymphocytes and macrophages. Hemolytic uremic syndrome (HUS) is a disease characterized by microangiopathic hemolytic anemia, thrombocytopenia, and acute renal failure. Reports pertaining to the association between HLH and HUS are rarely published; however, we report on a 4-year-old boy who was diagnosed with both conditions and treated successfully with high-dose steroid and intravenous immunoglobulin. Differentiating HUS from HLH can be challenging because of their clinical similarities. Therefore, prompt diagnosis and immunosuppressive treatment are essential and life-saving to these patients.
引用
收藏
页码:E905 / E910
页数:6
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