Primary Adult-Onset Hemophagocytic Lymphohistiocytosis with Neurologic Presentation

被引:5
作者
Southam, Cormac [1 ]
Grossman, Jennifer [2 ]
Hahn, Chris [1 ]
机构
[1] Univ Calgary, Foothills Med Ctr, Cumming Sch Med, Dept Clin Neurosci,Div Neurol, 1403-29 St NW, Calgary, AB T2N 2T9, Canada
[2] Univ Calgary, Foothills Med Ctr, Cumming Sch Med, Dept Hematol, Calgary, AB, Canada
关键词
Autoimmune disease; CNS inflammation; Genetics; Hemorrhage; cerebral; Immunology; Magnetic resonance imaging; Neuroimmunology; Neuroinflammation; NERVOUS-SYSTEM INVOLVEMENT; MUTATIONS; MUNC13-4;
D O I
10.1017/cjn.2021.141
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Hemophagocytic lymphohistiocytosis (HLH) is a rare immune deregulatory disorder that predominantly presents in children. Here we describe three patients with adult-onset primary HLH whose initial presentations were characterized by neurological features, and we review the literature of published cases. These cases ranged in age from 17 to 30 and presented with a variety of neurological symptoms. One of our cases demonstrated numerous microhemorrhages on MR brain. This is the first published case of adult-onset HLH presenting with cerebral microhemorrhages. In addition, literature review identified five additional patients with isolated central nervous system presentation of primary HLH.
引用
收藏
页码:441 / 444
页数:4
相关论文
共 10 条
[1]   Adult-onset hemophagocytic lymphohistiocytosis type 2 presenting as a demyelinating disease [J].
Algahtani, Hussein ;
Absi, Ahmed ;
Bassuni, Wafaa ;
Shirah, Bader .
MULTIPLE SCLEROSIS AND RELATED DISORDERS, 2018, 25 :77-82
[2]  
Barmettler S., 2016, BMJ CASE REP, V2016, pbcr2015213698
[3]   Central nervous system involvement in adults with haemophagocytic lymphohistiocytosis: a single-center study [J].
Cai, Guilan ;
Wang, Yini ;
Liu, Xiaojing ;
Han, Yanfei ;
Wang, Zhao .
ANNALS OF HEMATOLOGY, 2017, 96 (08) :1279-1285
[4]   HLH-2004: Diagnostic and therapeutic guidelines for hemophagocytic lymphohistiocytosis [J].
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 .
PEDIATRIC BLOOD & CANCER, 2007, 48 (02) :124-131
[5]   INCIDENCE IN SWEDEN AND CLINICAL-FEATURES OF FAMILIAL HEMOPHAGOCYTIC LYMPHOHISTIOCYTOSIS [J].
HENTER, JI ;
ELINDER, G ;
SODER, O ;
OST, A .
ACTA PAEDIATRICA SCANDINAVICA, 1991, 80 (04) :428-435
[6]   MR imaging findings in some rare neurological complications of paediatric cancer [J].
Okabe, Tetsuhiko ;
Nozaki, Taiki ;
Aida, Noriko ;
Starkey, Jay ;
Enokizono, Mikako ;
Niwa, Tetsu ;
Handa, Atsuhiko ;
Numaguchi, Yuji ;
Kurihara, Yasuyuki .
INSIGHTS INTO IMAGING, 2018, 9 (03) :313-324
[7]   Novel Munc13-4 mutations in children and young adult patients with haemophagocytic lymphohistiocytosis [J].
Santoro, A. ;
Cannella, S. ;
Bossi, G. ;
Gallo, F. ;
Trizzino, A. ;
Pende, D. ;
Dieli, F. ;
Bruno, G. ;
Stinchcombe, J. C. ;
Micalizzi, C. ;
De Fusco, C. ;
Danesino, C. ;
Moretta, L. ;
Notarangelo, L. D. ;
Griffiths, G. M. ;
Arico, M. .
JOURNAL OF MEDICAL GENETICS, 2006, 43 (12) :953-960
[8]   Central Nervous System Involvement in Hemophagocytic Lymphohistiocytosis in Adults: A Retrospective Analysis of 96 Patients in a Single Center [J].
Song, Yue ;
Pei, Rui-Jun ;
Wang, Yi-Ni ;
Zhang, Jia ;
Wang, Zhao .
CHINESE MEDICAL JOURNAL, 2018, 131 (07) :776-783
[9]   Considering immunologic and genetic evaluation for HLH in neuroinflammation: A case of Griscelli syndrome type 2 with neurological symptoms and a lack of albinism [J].
Woodward, Kristine E. ;
Shah, Ravi M. ;
Benseler, Susanne ;
Wei, Xing-Chang ;
Ng, Denise ;
Grossman, Jennifer ;
Hahn, Christopher ;
Thomas, Mary Ann ;
Wright, Nicola A. M. ;
Appendino, Juan Pablo .
PEDIATRIC BLOOD & CANCER, 2020, 67 (08)
[10]   Hypomorphic mutations in PRF1, MUNC13-4, and STXBP2 are associated with adult-onset familial HLH [J].
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. .
BLOOD, 2011, 118 (22) :5794-5798