Schultz Kris Ann P, Neglia Joseph P, Smith Angela R, Ochs Hans D, Torgerson Troy R, Kumar Ashish
Division of Hematology/Oncology and Blood and Marrow Transplantation, Department of Pediatrics, University of Minnesota, Minneapolis, Minnesota, USA.
Pediatr Blood Cancer. 2008 Aug;51(2):293-5. doi: 10.1002/pbc.21573.
Hemophagocytic lymphohistiocytosis (HLH) is often familial and is associated with high mortality. Primary (familial) HLH is known to occur in children with mutations in perforin, Munc13-4, or syntaxin 11. We describe a case series of two brothers who developed HLH in the setting of X-linked agammaglobulinemia (XLA, Bruton's disease) and adenovirus infection. Further studies revealed absence of Bruton's tyrosine kinase (BTK) protein expression and a novel BTK mutation.
噬血细胞性淋巴组织细胞增生症(HLH)通常具有家族性,且死亡率高。已知原发性(家族性)HLH发生于穿孔素、Munc13-4或 syntaxin 11 发生突变的儿童。我们描述了一个病例系列,两名患有X连锁无丙种球蛋白血症(XLA,布鲁顿病)和腺病毒感染的兄弟发生了HLH。进一步研究发现布鲁顿酪氨酸激酶(BTK)蛋白表达缺失以及一种新的BTK突变。