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An improved index for diagnosis and mortality prediction in malignancy-associated hemophagocytic lymphohistiocytosis.


ABSTRACT: Hemophagocytic lymphohistiocytosis (HLH) is a life-threatening inflammatory syndrome that may complicate hematologic malignancies (HMs). The appropriateness of current criteria for diagnosing HLH in the context of HMs is unknown because they were developed for children with familial HLH (HLH-2004) or derived from adult patient cohorts in which HMs were underrepresented (HScore). Moreover, many features of these criteria may directly reflect the underlying HM rather than an abnormal inflammatory state. To improve and potentially simplify HLH diagnosis in patients with HMs, we studied an international cohort of 225 adult patients with various HMs both with and without HLH and for whom HLH-2004 criteria were available. Classification and regression tree and receiver-operating curve analyses w

SUBMITTER: Zoref-Lorenz A 

PROVIDER: S-EPMC8854682 | biostudies-literature | 2022 Feb

REPOSITORIES: biostudies-literature