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应对复杂性:噬血细胞性淋巴组织细胞增生症诊断与管理挑战的案例研究

Navigating Complexity: A Case Study on Hemophagocytic Lymphohistiocytosis Diagnosis and Management Challenges.

作者信息

Nguyen Julie, Tun Nattapron, Burley Nick, Bolos David

机构信息

Internal Medicine, St. Joseph's Medical Center, Stockton, USA.

Hematology and Oncology, Olive View-University of California Los Angeles Medical Center, Los Angeles, USA.

出版信息

Cureus. 2024 May 4;16(5):e59628. doi: 10.7759/cureus.59628. eCollection 2024 May.

DOI:10.7759/cureus.59628
PMID:38707754
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11070218/
Abstract

Hemophagocytic lymphohistiocytosis (HLH) is a severe inflammatory disorder that affects multiple organ systems and carries a high risk of mortality if untreated. Treatment typically involves immune suppression with steroids and cytotoxic drugs. This case report details the evaluation and management of an adult female presenting with atypical symptoms, aims to improve awareness and understanding of HLH in adults, and emphasizes the urgency of timely diagnosis and intervention.

摘要

噬血细胞性淋巴组织细胞增生症(HLH)是一种严重的炎症性疾病,可影响多个器官系统,若不治疗,死亡率很高。治疗通常包括使用类固醇和细胞毒性药物进行免疫抑制。本病例报告详细介绍了一名出现非典型症状的成年女性的评估和管理情况,旨在提高对成人HLH的认识和理解,并强调及时诊断和干预的紧迫性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1d5/11070218/25fd36cc2c84/cureus-0016-00000059628-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1d5/11070218/f9d12caeb8c1/cureus-0016-00000059628-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1d5/11070218/85002552901e/cureus-0016-00000059628-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1d5/11070218/25fd36cc2c84/cureus-0016-00000059628-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1d5/11070218/f9d12caeb8c1/cureus-0016-00000059628-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1d5/11070218/85002552901e/cureus-0016-00000059628-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1d5/11070218/25fd36cc2c84/cureus-0016-00000059628-i03.jpg

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本文引用的文献

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Q fever as a rare cause of hemophagocytic lymphohistiocytosis: Case report.Q 热作为噬血细胞性淋巴组织细胞增生症的罕见病因:病例报告。
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How to Treat Involvement of the Central Nervous System in Hemophagocytic Lymphohistiocytosis?如何治疗噬血细胞性淋巴组织细胞增生症的中枢神经系统受累?
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Development and validation of the HScore, a score for the diagnosis of reactive hemophagocytic syndrome.HScore 的制定与验证:一种用于诊断反应性噬血细胞综合征的评分系统。
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Prognostic factors and outcomes of adults with hemophagocytic lymphohistiocytosis.噬血细胞性淋巴组织细胞增生症成人的预后因素和转归。
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Epstein-barr virus-induced hemophagocytic lymphohistiocytosis.爱泼斯坦-巴尔病毒诱导的噬血细胞性淋巴组织细胞增生症
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Etoposide selectively ablates activated T cells to control the immunoregulatory disorder hemophagocytic lymphohistiocytosis.依托泊苷选择性清除活化的 T 细胞以控制免疫调节紊乱噬血细胞性淋巴组织细胞增生症。
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