Small intestinal ulcers in hemophagocytic lymphohistiocytosis presenting as acute appendicitis

被引:0
|
作者
Kassel, Rachel [1 ]
Robertson, Jason O. [2 ]
Kung, Vanderlene L. [3 ]
White, Frances V. [3 ]
Cluster, Andrew S. [4 ]
Hulbert, Monica L. [4 ]
Vogel, Adam M. [2 ]
机构
[1] Washington Univ, St Louis Childrens Hosp, Div Pediat Gastroenterol Hepatol & Nutr, 1 Childrens Pl, St Louis, MO 63110 USA
[2] Washington Univ, St Louis Childrens Hosp, Div Pediat Surg, St Louis, MO 63110 USA
[3] Washington Univ, St Louis Childrens Hosp, Dept Pathol & Immunol, St Louis, MO 63110 USA
[4] Washington Univ, St Louis Childrens Hosp, Div Hematol & Oncol, St Louis, MO 63110 USA
关键词
Small intestinal ulcers; Hemophagocytic lymphohistiocytosis; Appendicitis;
D O I
10.1016/j.epsc.2014.05.009
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
We report the first case of a child with hemophagocytic lymphohistiocytosis (HLH) who presented with signs and symptoms mimicking acute appendicitis. Laparoscopy demonstrated ulcerated small intestinal plaques, and microscopic examination of that tissue showed necroinflammatory exudate and erythrophagocytosis. HLH manifesting as small intestinal ulcers has not been previously described. (C) 2014 The Authors. Published by Elsevier Inc. All rights reserved.
引用
收藏
页码:325 / 327
页数:3
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