Hemophagocytic Syndrome as an Initial Presentation of Systemic Lupus Erythematosus: A Case Report

Hemophagocytic syndrome (HPS) is an uncommon potentially life-threatening hematological disorder characterized by fever, pancytopenia, lymphadenopathy, and activation of macrophages, which can be associated with various diseases. HPS brings significant diagnostic and therapeutic challenges, especial...

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Veröffentlicht in:Curēus (Palo Alto, CA) CA), 2019-07, Vol.11 (7)
Hauptverfasser: AlSheef, Mohammed, Zaidi, Abdul Rehman Z, AlAtmi, AbdulAziz A, AlSharif, Lina H, Mian, Arshad
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container_title Curēus (Palo Alto, CA)
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creator AlSheef, Mohammed
Zaidi, Abdul Rehman Z
AlAtmi, AbdulAziz A
AlSharif, Lina H
Mian, Arshad
description Hemophagocytic syndrome (HPS) is an uncommon potentially life-threatening hematological disorder characterized by fever, pancytopenia, lymphadenopathy, and activation of macrophages, which can be associated with various diseases. HPS brings significant diagnostic and therapeutic challenges, especially if it is the presenting manifestation of an autoimmune disorder, which is uncommon. We present a case of hemophagocytic syndrome as an initial presentation of systemic lupus erythematosus (SLE). We also highlight this rare initial presentation of SLE where initial antinuclear antibody and extractable nuclear antigen tests were negative. To the best of our knowledge, this is the first case of isolated HPS evolving into SLE in the Middle East.
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subjects Alopecia
Baldness
Biopsy
Bone marrow
Case reports
Cytokines
Cytomegalovirus
Deoxyribonucleic acid
DNA
Emergency medical care
Hepatitis
Internal Medicine
Laboratories
Lupus
Lymphatic system
Medical imaging
Patients
Rheumatology
Triglycerides
title Hemophagocytic Syndrome as an Initial Presentation of Systemic Lupus Erythematosus: A Case Report
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