Reactive Hemophagocytic syndrome

We describe two cases of Reactive Hemophagocytic syndrome (RHS) occurring in rheumatic diseases in childhood. Patient 1, an adolescent girl with systemic onset Juvenile idopathic arthritis (JRA) presented like severe sepsis with shock, hepatic dysfunction and coagulopathy. Patient 2 presented with c...

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Veröffentlicht in:Indian journal of pediatrics 2008-12, Vol.75 (12), p.1261-1263
Hauptverfasser: Rajam, L., Prasad, Vinitha, Yatheesha, B.L.
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container_title Indian journal of pediatrics
container_volume 75
creator Rajam, L.
Prasad, Vinitha
Yatheesha, B.L.
description We describe two cases of Reactive Hemophagocytic syndrome (RHS) occurring in rheumatic diseases in childhood. Patient 1, an adolescent girl with systemic onset Juvenile idopathic arthritis (JRA) presented like severe sepsis with shock, hepatic dysfunction and coagulopathy. Patient 2 presented with cardiac tamponade, she was later detected to have systemic lupus erythematosus (SLE). Her bone marrow aspirate revealed prominent hemophagocytosis. Both cases improved with pulse methylprednisolone therapy.
doi_str_mv 10.1007/s12098-008-0170-y
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Patient 1, an adolescent girl with systemic onset Juvenile idopathic arthritis (JRA) presented like severe sepsis with shock, hepatic dysfunction and coagulopathy. Patient 2 presented with cardiac tamponade, she was later detected to have systemic lupus erythematosus (SLE). Her bone marrow aspirate revealed prominent hemophagocytosis. Both cases improved with pulse methylprednisolone therapy.</description><subject>Adolescent</subject><subject>Arthritis, Juvenile - complications</subject><subject>Biological and medical sciences</subject><subject>Blood Coagulation Disorders - etiology</subject><subject>Cardiac Tamponade - etiology</subject><subject>Cardiology. Vascular system</subject><subject>Clinical Brief</subject><subject>Dermatology</subject><subject>Diseases of the pericardium</subject><subject>Female</subject><subject>General aspects</subject><subject>Glucocorticoids - administration &amp; dosage</subject><subject>Gynecology</subject><subject>Heart</subject><subject>Humans</subject><subject>Liver - physiopathology</subject><subject>Lupus Erythematosus, Systemic - complications</subject><subject>Lymphohistiocytosis, Hemophagocytic - complications</subject><subject>Lymphohistiocytosis, Hemophagocytic - drug therapy</subject><subject>Lymphohistiocytosis, Hemophagocytic - etiology</subject><subject>Lymphohistiocytosis, Hemophagocytic - physiopathology</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Methylprednisolone - administration &amp; dosage</subject><subject>Pediatrics</subject><subject>Pulse Therapy, Drug</subject><subject>Skin involvement in other diseases. 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subjects Adolescent
Arthritis, Juvenile - complications
Biological and medical sciences
Blood Coagulation Disorders - etiology
Cardiac Tamponade - etiology
Cardiology. Vascular system
Clinical Brief
Dermatology
Diseases of the pericardium
Female
General aspects
Glucocorticoids - administration & dosage
Gynecology
Heart
Humans
Liver - physiopathology
Lupus Erythematosus, Systemic - complications
Lymphohistiocytosis, Hemophagocytic - complications
Lymphohistiocytosis, Hemophagocytic - drug therapy
Lymphohistiocytosis, Hemophagocytic - etiology
Lymphohistiocytosis, Hemophagocytic - physiopathology
Medical sciences
Medicine
Medicine & Public Health
Methylprednisolone - administration & dosage
Pediatrics
Pulse Therapy, Drug
Skin involvement in other diseases. Miscellaneous. General aspects
title Reactive Hemophagocytic syndrome
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