Department of Hematology, The Second Clinical Medical College, Jinan University, Shenzhen, Guangdong, China.
Department of Hematology, Shenzhen People's Hospital, Shenzhen, Guangdong, China.
Hematol Oncol. 2023 Aug;41(3):310-322. doi: 10.1002/hon.3075. Epub 2022 Oct 3.
Thrombocytopenia, anasarca, fever, reticulin fibrosis/renal failure, and organomegaly (TAFRO) syndrome is rare in clinical practice. It is a systemic inflammatory disease caused by a cytokine storm. Its clinical manifestations include thrombocytopenia, systemic edema, fever, bone marrow fibrosis, renal insufficiency, and organ enlargement. The high mortality rate of TAFRO syndrome is due to the difficulty of acquiring biopsy samples for diagnosis and the rapid disease progression. This disease is poorly understood by clinicians. Early detection, accurate diagnosis, and timely treatment play key roles in prolonging the survival of the patients. This review summarizes the latest progress in the pathogenesis, diagnostic criteria, and treatment regimens of TAFRO syndrome, aiming to help clinicians better understand TAFRO syndrome and improve its diagnosis and treatment.
血小板减少症、全身性水肿、发热、网状纤维/肾衰竭和脏器肿大(TAFRO)综合征在临床实践中较为罕见。它是一种由细胞因子风暴引起的系统性炎症性疾病。其临床表现包括血小板减少、全身性水肿、发热、骨髓纤维化、肾功能不全和器官肿大。TAFRO 综合征的高死亡率归因于获取活检样本进行诊断的难度以及疾病的快速进展。这种疾病对临床医生来说理解不足。早期发现、准确诊断和及时治疗对延长患者的生存时间起着关键作用。这篇综述总结了 TAFRO 综合征的发病机制、诊断标准和治疗方案的最新进展,旨在帮助临床医生更好地理解 TAFRO 综合征并提高其诊断和治疗水平。