U.S. flag

An official website of the United States government

Format

Send to:

Choose Destination

Links from PMC

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

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
Machowicz R, Janka G, Wiktor-Jedrzejczak W
Crit Rev Oncol Hematol 2017 Jun;114:1-12. Epub 2017 Mar 23 doi: 10.1016/j.critrevonc.2017.03.023. PMID: 28477737
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
Filippone EJ, Farber JL
Int Urol Nephrol 2016 Aug;48(8):1291-1304. Epub 2016 Apr 20 doi: 10.1007/s11255-016-1294-z. PMID: 27098410
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

Janka GE
Adv Exp Med Biol 2024;1448:9-19. doi: 10.1007/978-3-031-59815-9_2. PMID: 39117804
Kanematsu E, Nunokawa T, Chinen N, Komatsu A
Intern Med 2021 Nov 1;60(21):3511. Epub 2021 Aug 24 doi: 10.2169/internalmedicine.7482-21. PMID: 34433715Free PMC Article
Iba T, Levy JH, Connors JM, Warkentin TE, Thachil J, Levi M
Crit Care 2020 Jun 18;24(1):360. doi: 10.1186/s13054-020-03077-0. PMID: 32552865Free 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

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
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
Bunchorntavakul C, Reddy KR
Clin Liver Dis 2019 May;23(2):293-308. Epub 2019 Mar 2 doi: 10.1016/j.cld.2018.12.010. PMID: 30947878

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
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
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

Clinical prediction guides

Liu DL, Wang YJ, Qian SY, Ma SS, Ding MJ, Dong M, Zhang JM, Zhang MZ, Chen QJ, Zhang XD
Hematology 2024 Dec;29(1):2307817. Epub 2024 Feb 6 doi: 10.1080/16078454.2024.2307817. PMID: 38319083
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
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

Ricci S, Sarli WM, Lodi L, Canessa C, Lippi F, Dini D, Ferrari M, Pisano L, Sieni E, Indolfi G, Resti M, Azzari C
Front Immunol 2024;15:1282804. Epub 2024 Feb 13 doi: 10.3389/fimmu.2024.1282804. PMID: 38415256Free PMC Article
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

Supplemental Content

Table of contents

    Clinical resources

    Practice guidelines

    • PubMed
      See practice and clinical guidelines in PubMed. The search results may include broader topics and may not capture all published guidelines. See the FAQ for details.
    • Bookshelf
      See practice and clinical guidelines in NCBI Bookshelf. The search results may include broader topics and may not capture all published guidelines. See the FAQ for details.

    Consumer resources

    Recent activity

    Your browsing activity is empty.

    Activity recording is turned off.

    Turn recording back on

    See more...