Juvenile myelomonocytic leukemia presenting with features of hemophagocytic lymphohistiocytosis in association with neurofibromatosis and juvenile xanthogranulomas

An association exists among neurofibromatosis 1 (NF1), juvenile xanthogranulomas (JXGs), and juvenile myelomonocytic leukemia (JMML). The authors describe a patient with the triple association of JXG, NF1, and JMML initially presenting with features of hemophagocytic lymphohistiocytosis (HLH). An 18...

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Veröffentlicht in:Journal of pediatric hematology/oncology 2004-09, Vol.26 (9), p.591-595
Hauptverfasser: Shin, Helen T, Harris, Michael B, Orlow, Seth J
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creator Shin, Helen T
Harris, Michael B
Orlow, Seth J
description An association exists among neurofibromatosis 1 (NF1), juvenile xanthogranulomas (JXGs), and juvenile myelomonocytic leukemia (JMML). The authors describe a patient with the triple association of JXG, NF1, and JMML initially presenting with features of hemophagocytic lymphohistiocytosis (HLH). An 18-month old boy had multiple cutaneous and gastrointestinal JXG and NF1. At 3 years of age he developed anemia, thrombocytopenia, and hepatosplenomegaly. A bone marrow biopsy revealed features of HLH. Despite chemotherapy, he went on to develop JMML, which proved fatal.
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subjects Bone Marrow - pathology
Fatal Outcome
Histiocytosis, Non-Langerhans-Cell - drug therapy
Histiocytosis, Non-Langerhans-Cell - pathology
Humans
Infant
Leukemia, Myelomonocytic, Chronic - diagnosis
Leukemia, Myelomonocytic, Chronic - drug therapy
Male
Neurofibromatosis 1 - diagnosis
Xanthogranuloma, Juvenile - diagnosis
title Juvenile myelomonocytic leukemia presenting with features of hemophagocytic lymphohistiocytosis in association with neurofibromatosis and juvenile xanthogranulomas
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