Document Detail


Spontaneous resolution of Epstein-Barr virus-associated hemophagocytic lymphohistiocytosis.
MedLine Citation:
PMID:  20806367     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Secondary hemophagocytic lymphohistiocytosis (sHLH) is a reactive, proliferative disorder of the immune system resulting in lymphohistiocytic proliferation, hemophagocytosis, and cytokine dysregulation. The most common infectious trigger in sHLH is Epstein-Barr virus (EBV-HLH). Current treatment protocols for EBV-HLH have a cure rate of approximately 75%; however, there are significant toxicities associated with these therapies. We present two patients with EBV-HLH who experienced spontaneous resolution of their disease prior to the initiation of therapy, suggesting there may be a subgroup of patients with EBV-HLH who do well with conservative management and can avoid potentially toxic therapies.
Authors:
Brian Belyea; Ashley Hinson; Cassandra Moran; Eugene Hwang; Jessica Heath; Raymond Barfield
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Pediatric blood & cancer     Volume:  55     ISSN:  1545-5017     ISO Abbreviation:  Pediatr Blood Cancer     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-08-31     Completed Date:  2010-09-27     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101186624     Medline TA:  Pediatr Blood Cancer     Country:  United States    
Other Details:
Languages:  eng     Pagination:  754-6     Citation Subset:  IM    
Copyright Information:
Copyright 2010 Wiley-Liss, Inc.
Affiliation:
Division of Pediatric Hematology and Oncology, Department of Pediatrics, Duke University Medical Center, Durham, North Carolina 27710, USA. brian.belyea@duke.edu
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Epstein-Barr Virus Infections / complications*
Female
Humans
Lymphohistiocytosis, Hemophagocytic / diagnosis*
Male

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