Results of studies on the treatment of hemophagocytic lymphohistiocytosis in adult patients.
Authors | Characteristics | N | Cause | Treatment | Outcome | Etc |
---|---|---|---|---|---|---|
Imashuku |
Early vs. delayed etoposide | 20 | EBV-HLH | Etoposide (within 4 weeks) | Survivor: 5/7 vs. 1/13 | 2.5-yr OS: |
85 vs. 10% | ||||||
Tseng |
Non-infectious vs. Infectious | 96 | Non-infection: 66 | Observational study | Mortality: 70% vs. 47% | |
Infectious: 30 | ||||||
Buyse |
HLH at ICU | 56 | Tumor: 43 | Etoposide: 45 | Mortality: 29/56 | MAHS |
Non-viral: 13 | Corticosteroid: 31 | Aggressive supportive care | ||||
Viral: 10 | IVIG: 3 | |||||
Park |
HLH with hemophagocytosis | 23 | EBV: 16 | HLH-94 or 2004: 13 | Long-term survivor: 6/23 (26%) | 4 survivors received alloHCT |
Idiopathic: 6 | Immunosuppressive therapy: 9 | |||||
Hepatitis A: 1 | ||||||
Yoon |
Non malignancy associated HLH | 126 | EEBV, infection, autoimmune | HLH-94 81 (64.3%) | CR: 64.3% | 8-week treatment response is a predictor for survival |
Shin |
CHOP-based Tx | 17 | CHOP | CR: 41.2% | 2-year OS rate: 43.9% | |
PR: 17.6% |
Abbreviations: CHOP, cyclophosphamide/doxorubicin/vincristine/prednisolone; CR, complete remission; EBV, EpsteinBarr virus; HLH, hemophagocytic lymphohistiocytosis; ICU, intensive care unit; IVIG, intravenous immunoglobulin; MAHS, malignancy-associated hemophagocytic syndrome; OS, overall survival; PR, partial remission.