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Hemophagocytic syndrome

MedGen UID:
854411
Concept ID:
C3887558
Disease or Syndrome
Synonyms: Hemophagocytic Syndrome; Hemophagocytic Syndromes
 
Monarch Initiative: MONDO:0015540
Orphanet: ORPHA158032

Definition

Hemophagocytic syndrome (HPS) is a rare immune disease (see this term) and a potentially life-threatening disorder characterized by cytokine storm and overwhelming inflammation causing fever, hepatosplenomegaly, cytopenia, hypertriglyceridemia, hyperferritinemia, and hemophagocytosis in bone marrow, liver, spleen or lymph nodes. It can be either primary due to a genetic defect (primary hemophagocytic lymphohistiocytosis ; see this term), or secondary to malignancies, to infections, most commonly with viruses such as Epstein-Barr virus or cytomegalovirus, human immunodeficiency virus, or to autoimmune disorders such as systemic lupus erythematosus or adult-onset Still disease (secondary hemophagocytic lymphohistiocytosis) (see these termes). [from ORDO]

Professional guidelines

PubMed

Plášek J, Gumulec J, Máca J, Škarda J, Procházka V, Grézl T, Václavík J
Am J Med Sci 2022 Jun;363(6):465-475. Epub 2021 Nov 6 doi: 10.1016/j.amjms.2021.10.012. PMID: 34752741Free PMC Article
Hines MR, von Bahr Greenwood T, Beutel G, Beutel K, Hays JA, Horne A, Janka G, Jordan MB, van Laar JAM, Lachmann G, Lehmberg K, Machowicz R, Miettunen P, La Rosée P, Shakoory B, Zinter MS, Henter JI
Crit Care Med 2022 May 1;50(5):860-872. Epub 2021 Oct 5 doi: 10.1097/CCM.0000000000005361. PMID: 34605776
Siddall E, Khatri M, Radhakrishnan J
Kidney Int 2017 Jul;92(1):37-46. Epub 2017 Mar 17 doi: 10.1016/j.kint.2016.11.029. PMID: 28318633

Recent clinical studies

Etiology

Knaak C, Nyvlt P, Schuster FS, Spies C, Heeren P, Schenk T, Balzer F, La Rosée P, Janka G, Brunkhorst FM, Keh D, Lachmann G
Crit Care 2020 May 24;24(1):244. doi: 10.1186/s13054-020-02941-3. PMID: 32448380Free PMC Article
Melenotte C, Million M, Raoult D
Expert Rev Anti Infect Ther 2020 Jan;18(1):75-86. Epub 2019 Dec 6 doi: 10.1080/14787210.2020.1699055. PMID: 31782315
Ravelli A, Davì S, Minoia F, Martini A, Cron RQ
Hematol Oncol Clin North Am 2015 Oct;29(5):927-41. Epub 2015 Aug 25 doi: 10.1016/j.hoc.2015.06.010. PMID: 26461152
Tothova Z, Berliner N
J Intensive Care Med 2015 Oct;30(7):401-12. Epub 2014 Jan 8 doi: 10.1177/0885066613517076. PMID: 24407034Free PMC Article
Fardet L, Galicier L, Lambotte O, Marzac C, Aumont C, Chahwan D, Coppo P, Hejblum G
Arthritis Rheumatol 2014 Sep;66(9):2613-20. doi: 10.1002/art.38690. PMID: 24782338

Diagnosis

Yongzhi X
Emerg Microbes Infect 2021 Dec;10(1):266-276. doi: 10.1080/22221751.2021.1884503. PMID: 33522893Free PMC Article
Soy M, Atagündüz P, Atagündüz I, Sucak GT
Rheumatol Int 2021 Jan;41(1):7-18. Epub 2020 Jun 25 doi: 10.1007/s00296-020-04636-y. PMID: 32588191Free PMC Article
Ravelli A, Davì S, Minoia F, Martini A, Cron RQ
Hematol Oncol Clin North Am 2015 Oct;29(5):927-41. Epub 2015 Aug 25 doi: 10.1016/j.hoc.2015.06.010. PMID: 26461152
Fardet L, Galicier L, Lambotte O, Marzac C, Aumont C, Chahwan D, Coppo P, Hejblum G
Arthritis Rheumatol 2014 Sep;66(9):2613-20. doi: 10.1002/art.38690. PMID: 24782338
Malinowska I, Machaczka M, Popko K, Siwicka A, Salamonowicz M, Nasiłowska-Adamska B
Arch Immunol Ther Exp (Warsz) 2014 Oct;62(5):385-94. Epub 2014 Feb 9 doi: 10.1007/s00005-014-0274-1. PMID: 24509696Free PMC Article

Therapy

Summerlin J, Wells DA, Anderson MK, Halford Z
Ann Pharmacother 2023 Jul;57(7):867-879. Epub 2022 Nov 9 doi: 10.1177/10600280221134719. PMID: 36349896
Iba T, Levy JH
Trends Cardiovasc Med 2022 Jul;32(5):249-256. Epub 2022 Feb 22 doi: 10.1016/j.tcm.2022.02.008. PMID: 35202800Free PMC Article
Plášek J, Gumulec J, Máca J, Škarda J, Procházka V, Grézl T, Václavík J
Am J Med Sci 2022 Jun;363(6):465-475. Epub 2021 Nov 6 doi: 10.1016/j.amjms.2021.10.012. PMID: 34752741Free PMC Article
Wang H, Fu BB, Gale RP, Liang Y
Leukemia 2021 Sep;35(9):2460-2468. Epub 2021 Jun 11 doi: 10.1038/s41375-021-01313-2. PMID: 34117356Free PMC Article
Knaak C, Nyvlt P, Schuster FS, Spies C, Heeren P, Schenk T, Balzer F, La Rosée P, Janka G, Brunkhorst FM, Keh D, Lachmann G
Crit Care 2020 May 24;24(1):244. doi: 10.1186/s13054-020-02941-3. PMID: 32448380Free PMC Article

Prognosis

Summerlin J, Wells DA, Anderson MK, Halford Z
Ann Pharmacother 2023 Jul;57(7):867-879. Epub 2022 Nov 9 doi: 10.1177/10600280221134719. PMID: 36349896
Wang H, Fu BB, Gale RP, Liang Y
Leukemia 2021 Sep;35(9):2460-2468. Epub 2021 Jun 11 doi: 10.1038/s41375-021-01313-2. PMID: 34117356Free PMC Article
Zheng R, Xie S, Lu X, Sun L, Zhou Y, Zhang Y, Wang K
Biomed Res Int 2018;2018:5712920. Epub 2018 Apr 22 doi: 10.1155/2018/5712920. PMID: 29850535Free PMC Article
Sawada A, Inoue M, Kawa K
Int J Hematol 2017 Apr;105(4):406-418. Epub 2017 Feb 16 doi: 10.1007/s12185-017-2192-6. PMID: 28210942
Malinowska I, Machaczka M, Popko K, Siwicka A, Salamonowicz M, Nasiłowska-Adamska B
Arch Immunol Ther Exp (Warsz) 2014 Oct;62(5):385-94. Epub 2014 Feb 9 doi: 10.1007/s00005-014-0274-1. PMID: 24509696Free PMC Article

Clinical prediction guides

Wang H, Fu BB, Gale RP, Liang Y
Leukemia 2021 Sep;35(9):2460-2468. Epub 2021 Jun 11 doi: 10.1038/s41375-021-01313-2. PMID: 34117356Free PMC Article
Knaak C, Nyvlt P, Schuster FS, Spies C, Heeren P, Schenk T, Balzer F, La Rosée P, Janka G, Brunkhorst FM, Keh D, Lachmann G
Crit Care 2020 May 24;24(1):244. doi: 10.1186/s13054-020-02941-3. PMID: 32448380Free PMC Article
Melenotte C, Million M, Raoult D
Expert Rev Anti Infect Ther 2020 Jan;18(1):75-86. Epub 2019 Dec 6 doi: 10.1080/14787210.2020.1699055. PMID: 31782315
Ponzoni M, Campo E, Nakamura S
Blood 2018 Oct 11;132(15):1561-1567. Epub 2018 Aug 15 doi: 10.1182/blood-2017-04-737445. PMID: 30111607
Fardet L, Galicier L, Lambotte O, Marzac C, Aumont C, Chahwan D, Coppo P, Hejblum G
Arthritis Rheumatol 2014 Sep;66(9):2613-20. doi: 10.1002/art.38690. PMID: 24782338

Recent systematic reviews

Giang HTN, Banno K, Minh LHN, Trinh LT, Loc LT, Eltobgy A, Tai LLT, Khan A, Tuan NH, Reda Y, Samsom M, Nam NT, Huy NT, Hirayama K
Rev Med Virol 2018 Nov;28(6):e2005. Epub 2018 Aug 15 doi: 10.1002/rmv.2005. PMID: 30109914
Zheng R, Xie S, Lu X, Sun L, Zhou Y, Zhang Y, Wang K
Biomed Res Int 2018;2018:5712920. Epub 2018 Apr 22 doi: 10.1155/2018/5712920. PMID: 29850535Free PMC Article
Lin M, Park S, Hayden A, Giustini D, Trinkaus M, Pudek M, Mattman A, Schneider M, Chen LYC
Ann Hematol 2017 Aug;96(8):1241-1251. Epub 2017 May 12 doi: 10.1007/s00277-017-2993-y. PMID: 28497365
Scalzone M, Ruggiero A, Mastrangelo S, Trombatore G, Ridola V, Maurizi P, Riccardi R
J Infect Dev Ctries 2016 Jan 31;10(1):103-8. doi: 10.3855/jidc.6385. PMID: 26829545
Serio I, Arnaud L, Mathian A, Hausfater P, Amoura Z
Clin Rheumatol 2014 Sep;33(9):1209-15. Epub 2014 Jul 27 doi: 10.1007/s10067-014-2738-4. PMID: 25064130

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