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Familial haemophagocytic lymphohistiocytosis: two case reports

dc.contributor.authorFerreira, M
dc.contributor.authorMartins, J
dc.contributor.authorSilvestre, C
dc.contributor.authorAbadesso, C
dc.contributor.authorMatias, E
dc.contributor.authorLoureiro, H
dc.contributor.authorFigueiredo, A
dc.contributor.authorDias, A
dc.contributor.authorAlmeida, HI
dc.date.accessioned2012-08-10T10:49:41Z
dc.date.available2012-08-10T10:49:41Z
dc.date.issued2010
dc.description.abstractHaemophagocytic lymphohistiocytosis (HLH) is a life threatening inflammatory syndrome, which presents a highly stimulated but ineffective immune response with severe hypercytokinaemia. HLH, primary or secondary, is characterised by prolonged fever and hepatosplenomegaly associated with pancytopenia, hypertriglyceridaemia and hypofibrinogenaemia. However, the hallmark of HLH is impaired or absent function of natural killer cells and cytotoxic T lymphocytes. HLH presents major diagnostic difficulties, since it may have an incomplete and/or late onset and with many conditions leading to the same clinical picture. When untreated, it is fatal in all primary cases and in a high percentage of acquired cases. Awareness of the clinical picture and diagnostic criteria is thus important to start life saving treatment. We describe two cases of primary HLH, with significant differences in their clinical presentation and evolution.por
dc.identifier.citationBMJ Case Rep. 2010 May 4por
dc.identifier.issn1757-790X
dc.identifier.urihttp://hdl.handle.net/10400.10/644
dc.language.isoengpor
dc.peerreviewedyespor
dc.publisherBMJpor
dc.relation.publisherversionhttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC3047491/?tool=pubmedpor
dc.subjectLinfohistiocitose hemofagocíticapor
dc.subjectCriançapor
dc.subjectCasos clínicospor
dc.subjectHaemophagocytic lymphohistiocytosispor
dc.titleFamilial haemophagocytic lymphohistiocytosis: two case reportspor
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlaceLondonpor
oaire.citation.titleBMJ case reportspor
rcaap.rightsopenAccesspor
rcaap.typearticlepor

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