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Erschienen in: Medical Oncology 2/2011

01.06.2011 | Original Paper

Acquired hemophagocytic lymphohistiocytosis associated with multiple myeloma

verfasst von: Maciej Machaczka, Johan Vaktnäs, Monika Klimkowska, Hareth Nahi, Hans Hägglund

Erschienen in: Medical Oncology | Ausgabe 2/2011

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Abstract

Acquired or secondary hemophagocytic lymphohistiocytosis (sHLH) is a life-threatening hyperinflammation syndrome caused mostly by various infectious agents, autoimmune disorders or malignancy. So far, only anecdotal cases of sHLH associated with multiple myeloma have been published. We provide a review of all these reports and include a previously not published case of myeloma-associated sHLH in a 59-year-old male with complex partial epilepsy. Due to aggressive course of sHLH, increased awareness is indicated in all patients with malignancies which develop unremitting fever, cytopenia and splenomegaly. Early diagnosis and immediate introduction of adequate therapy is crucial for the outcome of HLH.
Literatur
1.
Zurück zum Zitat Farquhar JW, Claireaux AE. Familial haemophagocytic reticulosis. Arch Dis Child. 1952;27:519–25.PubMedCrossRef Farquhar JW, Claireaux AE. Familial haemophagocytic reticulosis. Arch Dis Child. 1952;27:519–25.PubMedCrossRef
2.
Zurück zum Zitat Henter J-I, Arico M, Elinder G, Imashuku S, Janka G. Familial hemophagocytic lymphohistiocytosis (primary HLH). Hematol Oncol Clin North Am. 1998;12:417–33.PubMedCrossRef Henter J-I, Arico M, Elinder G, Imashuku S, Janka G. Familial hemophagocytic lymphohistiocytosis (primary HLH). Hematol Oncol Clin North Am. 1998;12:417–33.PubMedCrossRef
3.
Zurück zum Zitat Janka G, Imashuku S, Elinder G, Schneider M, Henter J-I. Infection- and malignancy-associated hemophagocytic syndromes. Hematol Oncol Clin North Am. 1998;12:435–44.PubMedCrossRef Janka G, Imashuku S, Elinder G, Schneider M, Henter J-I. Infection- and malignancy-associated hemophagocytic syndromes. Hematol Oncol Clin North Am. 1998;12:435–44.PubMedCrossRef
4.
Zurück zum Zitat Henter J-I, Elinder G, Söder O, Öst Å. Incidence in Sweden and clinical features of familial hemophagocytic lymphohistiocytosis. Acta Paediatr Scand. 1991;80:428–35.PubMedCrossRef Henter J-I, Elinder G, Söder O, Öst Å. Incidence in Sweden and clinical features of familial hemophagocytic lymphohistiocytosis. Acta Paediatr Scand. 1991;80:428–35.PubMedCrossRef
5.
Zurück zum Zitat Janka G. Hemophagocytic lymphohistiocytosis: When the immune system runs amok. Klin Padiatr. 2009;221:278–85.PubMedCrossRef Janka G. Hemophagocytic lymphohistiocytosis: When the immune system runs amok. Klin Padiatr. 2009;221:278–85.PubMedCrossRef
6.
Zurück zum Zitat Janka GE, Schneider EM. Modern management of children with haemophagocytic lymphohistiocytosis. Br J Haematol. 2004;124:4–14.PubMedCrossRef Janka GE, Schneider EM. Modern management of children with haemophagocytic lymphohistiocytosis. Br J Haematol. 2004;124:4–14.PubMedCrossRef
7.
Zurück zum Zitat Hasselblom S, Linde A, Ridell B. Hodgkin’s lymphoma, Epstein-Barr virus reactivation and fatal haemophagocytic syndrome. J Intern Med. 2004;255:289–95.PubMedCrossRef Hasselblom S, Linde A, Ridell B. Hodgkin’s lymphoma, Epstein-Barr virus reactivation and fatal haemophagocytic syndrome. J Intern Med. 2004;255:289–95.PubMedCrossRef
8.
Zurück zum Zitat Machaczka M, Vaktnas J. Haemophagocytic syndrome associated with Hodgkin lymphoma and Pneumocystis jiroveci pneumonitis. Br J Haematol 2007;138:672. Machaczka M, Vaktnas J. Haemophagocytic syndrome associated with Hodgkin lymphoma and Pneumocystis jiroveci pneumonitis. Br J Haematol 2007;138:672.
9.
Zurück zum Zitat Ishii E, Ohga S, Imashuku S, Yasukawa M, Tsuda H, Miura I, et al. Nationwide survey of hemophagocytic lymphohistiocytosis in Japan. Int J Hematol. 2007;86:58–65.PubMedCrossRef Ishii E, Ohga S, Imashuku S, Yasukawa M, Tsuda H, Miura I, et al. Nationwide survey of hemophagocytic lymphohistiocytosis in Japan. Int J Hematol. 2007;86:58–65.PubMedCrossRef
10.
Zurück zum Zitat Henter J-I, Elinder G, Söder O, Hansson M, Andersson B, Andersson U. Hypercytokinemia in familial hemophagocytic lymphohistiocytosis. Blood. 1991;78:2918–22.PubMed Henter J-I, Elinder G, Söder O, Hansson M, Andersson B, Andersson U. Hypercytokinemia in familial hemophagocytic lymphohistiocytosis. Blood. 1991;78:2918–22.PubMed
11.
Zurück zum Zitat Öst Å, Nilsson-Ardnor S, Henter J-I. Autopsy findings in 27 children with haemophagocytic lymphohistiocytosis. Histopathology. 1998;32:310–6.PubMedCrossRef Öst Å, Nilsson-Ardnor S, Henter J-I. Autopsy findings in 27 children with haemophagocytic lymphohistiocytosis. Histopathology. 1998;32:310–6.PubMedCrossRef
12.
Zurück zum Zitat Reiner AP, Spivak JL. Hematophagic histiocytos. A report of 23 new patients and a review of the literature. Medicine (Baltimore). 1988;67:369–88. Reiner AP, Spivak JL. Hematophagic histiocytos. A report of 23 new patients and a review of the literature. Medicine (Baltimore). 1988;67:369–88.
13.
Zurück zum Zitat Henter J-I, Horne A, Arico M, Egeler RM, Filipovich AH, Imashuku S, et al. HLH-2004: diagnostic and therapeutic guidelines for hemophagocytic lymphohistiocytosis. Pediatr Blood Cancer. 2007;48:124–31.PubMedCrossRef Henter J-I, Horne A, Arico M, Egeler RM, Filipovich AH, Imashuku S, et al. HLH-2004: diagnostic and therapeutic guidelines for hemophagocytic lymphohistiocytosis. Pediatr Blood Cancer. 2007;48:124–31.PubMedCrossRef
14.
Zurück zum Zitat Kaito K, Ono M, Kobayashi M, Kawamoto S, Nishiwaki K, Masuoka H, et al. A case of hemophagocytic syndrome with multiple myeloma. Rinsho Ketsueki. 1992;33:1095–7.PubMed Kaito K, Ono M, Kobayashi M, Kawamoto S, Nishiwaki K, Masuoka H, et al. A case of hemophagocytic syndrome with multiple myeloma. Rinsho Ketsueki. 1992;33:1095–7.PubMed
15.
Zurück zum Zitat Venizelos ID, Garipidou V, Perifanis V. Hemophagocytic syndrome associated with multiple myeloma. Leuk Lymphoma. 2002;43:897–9.CrossRef Venizelos ID, Garipidou V, Perifanis V. Hemophagocytic syndrome associated with multiple myeloma. Leuk Lymphoma. 2002;43:897–9.CrossRef
16.
Zurück zum Zitat Terrovitis JV, Matsouka C, Anagnostopoulos A, Anastasiou-Nana MI, Dimopoulos AM. Hemophagocytic lymphohistiocytosis after chemotherapy for multiple myeloma. Clin Lymphoma. 2004;5:194–6.PubMedCrossRef Terrovitis JV, Matsouka C, Anagnostopoulos A, Anastasiou-Nana MI, Dimopoulos AM. Hemophagocytic lymphohistiocytosis after chemotherapy for multiple myeloma. Clin Lymphoma. 2004;5:194–6.PubMedCrossRef
17.
Zurück zum Zitat Ostronoff M, Ostronoff F, Coutinho M, Calixto R, Souto Maior AP, Sucupira A, et al. Hemophagocytic syndrome after autologous peripheral blood stem cell transplantation for multiple myeloma: successful treatment with high-dose intravenous immunoglobulin. Bone Marrow Transplant. 2006;37:797–8.PubMedCrossRef Ostronoff M, Ostronoff F, Coutinho M, Calixto R, Souto Maior AP, Sucupira A, et al. Hemophagocytic syndrome after autologous peripheral blood stem cell transplantation for multiple myeloma: successful treatment with high-dose intravenous immunoglobulin. Bone Marrow Transplant. 2006;37:797–8.PubMedCrossRef
18.
Zurück zum Zitat Yang YC, Jou ST, Chang YH, Liang JS, Lee WT. Hemophagocytic syndrome associated with antiepileptic drug. Pediatr Neurol. 2004;30:358–60.PubMedCrossRef Yang YC, Jou ST, Chang YH, Liang JS, Lee WT. Hemophagocytic syndrome associated with antiepileptic drug. Pediatr Neurol. 2004;30:358–60.PubMedCrossRef
19.
Zurück zum Zitat Gumus H, Kumandas S, Per H, Karakukcu M. Hemophagocytic syndrome associated with high-dose lamotrigine. Pediatr Int. 2007;49:672–3.PubMedCrossRef Gumus H, Kumandas S, Per H, Karakukcu M. Hemophagocytic syndrome associated with high-dose lamotrigine. Pediatr Int. 2007;49:672–3.PubMedCrossRef
20.
Zurück zum Zitat Fukaya S, Yasuda S, Hashimoto T, Oku K, Kataoka H, Horita T, et al. Clinical features of haemophagocytis syndrome in patients with systemic autoimmune disease: analysis of 30 cases. Rheumatology. 2008;47:1686–91.PubMedCrossRef Fukaya S, Yasuda S, Hashimoto T, Oku K, Kataoka H, Horita T, et al. Clinical features of haemophagocytis syndrome in patients with systemic autoimmune disease: analysis of 30 cases. Rheumatology. 2008;47:1686–91.PubMedCrossRef
21.
Zurück zum Zitat Cumbo-Nacheli G, Weinberger J, Alkhalil M, Thati N, Baptist AP. Anticonvulsant hypersensitivity syndrome: is there a role for immunomodulation? Epilepsia. 2008;49:2108–12.PubMedCrossRef Cumbo-Nacheli G, Weinberger J, Alkhalil M, Thati N, Baptist AP. Anticonvulsant hypersensitivity syndrome: is there a role for immunomodulation? Epilepsia. 2008;49:2108–12.PubMedCrossRef
22.
Zurück zum Zitat Wu Y, Farrell J, Pirmohamed M, Park BK, Naisbitt DJ. Generation and characterization of antigen-specific CD4+, CD8+ and CD4+ CD8+ T-cell clones from patients with carbamazepine hypersensitivity. J Allergy Clin Immunol. 2007;119:973–81.PubMedCrossRef Wu Y, Farrell J, Pirmohamed M, Park BK, Naisbitt DJ. Generation and characterization of antigen-specific CD4+, CD8+ and CD4+ CD8+ T-cell clones from patients with carbamazepine hypersensitivity. J Allergy Clin Immunol. 2007;119:973–81.PubMedCrossRef
Metadaten
Titel
Acquired hemophagocytic lymphohistiocytosis associated with multiple myeloma
verfasst von
Maciej Machaczka
Johan Vaktnäs
Monika Klimkowska
Hareth Nahi
Hans Hägglund
Publikationsdatum
01.06.2011
Verlag
Springer US
Erschienen in
Medical Oncology / Ausgabe 2/2011
Print ISSN: 1357-0560
Elektronische ISSN: 1559-131X
DOI
https://doi.org/10.1007/s12032-010-9484-5

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