An UNUSUAL CASE OF RESIDUAL FOLLICULAR LYMPHOMA WITH HEMOPHAGOCYTIC LYMPHOHISTIOCYTOSIS.
Abstract
Follicular lymphoma is an indolent B-cell lymphoproliferative disorder of transformed follicular centre B cells characterised by diffuse lymphadenopathy, bone marrow involvement and splenomegaly. An uncommon, fatal clinical disease known as hemophagocytic lymphohistiocytosis is marked by hyperinflammation. HLH is brought on by abnormally activated macrophages and cytotoxic T cells, which produce acute organ dysfunction and cytokine storm. HLH caused by lymphoma is a rare but devastating condition. A rapid diagnosis will aid in effective treatment. This is a rare case report highlighting diagnosis and treatment plan of a 60 year old female patient with residual follicular lymphoma with hemophagocytic lymphohistiocytosis.
Keywords: follicular, lymphoma, hemophagocytic lymphohistiocytosis,
Downloads
References
2. Fukaya S, Yasuda S, Hashimoto T, et al. Clinical features of haemophagocytic syndrome in patients with systemic auto- immune diseases: analysis of 30 cases. Rheumatology (Oxford). 2008;47(11):1686-1691. doi: 10.1093/rheumatology/ken342.
3. Mehta RS, Smith RE. Hemophagocytic lymphohistiocytosis (HLH): a review of literature. Med Oncol. 2013;30(4):740. doi: 10.1007/s12032-013-0740-3.
4. Janka G. Hemophagocytic lymphohistiocytosis: when the immune system runs amok. Klinische Padiatrie. 2009;221(5):278–285. [PubMed] [Google Scholar] [Ref list]
5. Okamoto M, Yamaguchi H, Isobe Y, et al. Analysis of triglyceride value in the diagnosis and treatment response of secondary hemophagocytic syndrome. Intern Med. 2009;48(10):775-781.
6. Fukaya S, Yasuda S, Hashimoto T, et al. Clinical features of haemophagocytic syndrome in patients with systemic auto- immune diseases: analysis of 30 cases. Rheumatology (Oxford). 2008;47(11):1686-1691. doi: 10.1093/rheumatology/ken342.
7. Devitt, K., Cerny, J., Switzer, B., Ramanathan, M., Nath, R., Yu, H., … Chen, B. J. (2014). Hemophagocytic lymphohistiocytosis secondary to T-cell/histiocyte-rich large B-cell lymphoma. Leukemia Research Reports, 3(2), 42–45. doi:10.1016/j.lrr.2014.05.004
8. Shabbir M, Lucas J, Lazarchick J, Shirai K. Secondary hemophagocytic syndrome in adult series of 18 patients in a single institution and a review of literature. Hematol Oncol. 2010;29:100–6. [PubMed] [Google Scholar] [Ref list]
9. Jordan MB, Allen CE, Weitzman S, Filipovich AH, McClain KL. How I treat hemophagocytic lymphohistiocytosis. Blood. 2011;118(15):4041-4052. doi: 10.1182/ blood-2011-03-278127.
10. Martinez A, Pittaluga S, Villamor N, et al. Clonal T-cell population and increased risk for cytotoxic T-cell lymphomas in B-CLL patients: clinicopathologic observations and molecular analysis. Am J Surg Pathol. 2004;28:849-858.
11. Lehmberg K, Nichols KE, Henter JI, et al; Study Group on Hemophagocytic Lymphohistiocytosis Subtypes of the Histiocyte Society. Consensus recommendations for the diagnosis and management of hemophagocytic lymphohistiocytosis associated with malignancies. Haematologica. 2015;100(8):997-1004.
Copyright (c) 2024 Author (s). Published by Siddharth Health Research and Social Welfare Society
This work is licensed under a Creative Commons Attribution 4.0 International License.