Splenectomy as a therapeutic approach in refractory hemophagocytic lymphohistiocytosis

被引:4
作者
Machaczka, Maciej [1 ,2 ]
机构
[1] Karolinska Inst, Div Hematol, Dept Med Huddinge, SE-14186 Stockholm, Sweden
[2] Karolinska Univ, Huddinge Hosp, Hematol Ctr Karolinska, SE-14186 Stockholm, Sweden
关键词
Hemophagocytic lymphohistiocytosis; Splenectomy; Therapy; MUTATIONS;
D O I
10.1016/j.biopha.2011.09.009
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
Zhang et al. have reported a case of an adult man with hemophagocytic lymphohistiocytosis (HLH) with an unknown etiology who has achieved a remission of HLH following comprehensive treatment based on splenectomy. In the present communication, the author critically discusses diagnostic and therapeutic issues related to the reported case, and questions utility of splenectomy in the treatment of active HLH.
引用
收藏
页码:159 / 160
页数:2
相关论文
共 13 条
  • [1] Munc13-4 is essential for cytolytic granules fusion and is mutated in a form of familial hemophagocytic lymphohistiocytosis (FHL3)
    Feldmann, J
    Callebaut, I
    Raposo, G
    Certain, S
    Bacq, D
    Dumont, C
    Lambert, N
    Ouachée-Chardin, M
    Chedeville, G
    Tamary, H
    Minard-Colin, V
    Vilmer, E
    Blanche, S
    Le Deist, F
    Fischer, A
    Saint Basile, GD
    [J]. CELL, 2003, 115 (04) : 461 - 473
  • [2] HLH-2004: Diagnostic and therapeutic guidelines for hemophagocytic lymphohistiocytosis
    Henter, Jan-Inge
    Horne, AnnaCarin
    Arico, Maurizio
    Egeler, R. Maarten
    Filipovich, Alexandra H.
    Imashuku, Shinsaku
    Ladisch, Stephan
    McClain, Ken
    Webb, David
    Winiarski, Jacek
    Janka, Gritta
    [J]. PEDIATRIC BLOOD & CANCER, 2007, 48 (02) : 124 - 131
  • [3] Henter JI, 1997, MED PEDIATR ONCOL, V28, P342, DOI 10.1002/(SICI)1096-911X(199705)28:5<342::AID-MPO3>3.0.CO
  • [4] 2-H
  • [5] Hemophagocytic Lymphohistiocytosis: When the Immune System Runs Amok
    Janka, G.
    [J]. KLINISCHE PADIATRIE, 2009, 221 (05): : 278 - 285
  • [6] Hematopoietic cell transplantation for hemophagocytic lymphohistiocytosis: a journey of a thousand miles begins with a single (big) step
    Jordan, M. B.
    Filipovich, A. H.
    [J]. BONE MARROW TRANSPLANTATION, 2008, 42 (07) : 433 - 437
  • [7] Malignancy-associated hemophagocytic lymphohistiocytosis in adults: a retrospective population-based analysis from a single center
    Machaczka, Maciej
    Vaktnas, Johan
    Klimkowska, Monika
    Hagglund, Hans
    [J]. LEUKEMIA & LYMPHOMA, 2011, 52 (04) : 613 - 619
  • [8] Stepp SE, 1999, SCIENCE, V286, P1957, DOI 10.1126/science.286.5446.1957
  • [9] Clinical characteristics of T-cell lymphoma associated with hemophagocytic syndrome: Comparison of T-cell lymphoma with and without hemophagocytic syndrome
    Tong, Hongyan
    Ren, Yanling
    Liu, Hui
    Xiao, Feng
    Mai, Wenyuan
    Meng, Haitao
    Qian, Wenbin
    Huang, Jian
    Mao, Lingping
    Tong, Ying
    Wang, Lei
    Qian, Jiejing
    Jin, Jie
    [J]. LEUKEMIA & LYMPHOMA, 2008, 49 (01) : 81 - 87
  • [10] Hypomorphic mutations in PRF1, MUNC13-4, and STXBP2 are associated with adult-onset familial HLH
    Zhang, Kejian
    Jordan, Michael B.
    Marsh, Rebecca A.
    Johnson, Judith A.
    Kissell, Diane
    Meller, Jarek
    Villanueva, Joyce
    Risma, Kimberly A.
    Wei, Qian
    Klein, Peter S.
    Filipovich, Alexandra H.
    [J]. BLOOD, 2011, 118 (22) : 5794 - 5798