Cutaneous findings in hemophagocytic lymphohistiocytosis.

Background: Cutaneous findings associated with hemophagocytic lymphohistiocytosis (HLH) remain largely undescribed in the literature, yet are substantial and correlative with disease course.Objective: To catalog the clinical findings of cutaneous eruptions associated with HLH.Methods: We performed a...

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Publicado en:Dermatology (10188665) Vol. 230; no. 3; pp. 234 - 244
Autores principales: Zerah, Michele L, DeWitt, Christine A
Formato: Journal Article
Publicado: Karger AG May2015
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Cutaneous findings in hemophagocytic lymphohistiocytosis.
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          Zerah, Michele L
          DeWitt, Christine A
      sug:
      ab: Background: Cutaneous findings associated with hemophagocytic lymphohistiocytosis (HLH) remain largely undescribed in the literature, yet are substantial and correlative with disease course.Objective: To catalog the clinical findings of cutaneous eruptions associated with HLH.Methods: We performed a retrospective chart review of patients meeting the criteria for HLH at two hospitals over 5 years. All patients meeting the criteria for HLH as defined by the HLH-2004 protocol were included.Results: Cutaneous lesions were categorized based on clinical presentations and histology. Lesions independent of immunocompromised state were observed, including pyoderma gangrenosum, panniculitis, morbilliform eruptions, Stevens-Johnson syndrome, atypical targetoid lesions and bullae. Histologic findings were non-specific.Conclusion: Cutaneous eruptions as a consequence of HLH are variable in presentation and identified as a diagnosis of exclusion. Findings are both primarily and secondarily induced by altered immunity. Further study is needed to allow better understanding of the immunopathogenesis involved.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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