Hemophagocytic Lymphohistiocytosis-A Rare Complication of Hepatitis A Virus Infection
نویسندگان
1
2 دانشگاه ارومیه
3 دانشگاه بوعلی سینا
4 دانشگاه تبریز
doi
10.5812/pedinfect.21150چکیده
Introduction: Hemophagocytic lymphohistiocytosis (HLH) is a heterogeneous group of clinical syndromes characterized by activation and subsequent uncontrolled non-malignant proliferation of T-lymphocytes, histiocytes and macrophages leading to a cytokine storm and manifesting as prolonged fever, organomegaly, cytopenia, hyperferritinemia and demonstrable hemophagocytosis in the bone marrow. Conclusions: Hemophagocytic lymphohistiocytosis is broadly classified as two types, either familial or acquired. The acquired variety may be secondary to any type of infection, mostly viral. Hepatitis A virus is rarely reported to give rise to HLH in the pediatric population. Less intensive immunosuppressive therapy with steroids was successful in maintaining remission.