Blood Research

Results of studies on the treatment of hemophagocytic lymphohistiocytosis in adult patients.

Authors Characteristics N Cause Treatment Outcome Etc
Imashuku et al. [60] (Japan) 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 et al. [63] (Taiwan) Non-infectious vs. Infectious 96 Non-infection: 66 Observational study Mortality: 70% vs. 47%
Infectious: 30
Buyse et al. [59] (France) 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 et al. [61] (Korea) 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 et al. [64] (Korea) 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 et al. [62] (Korea) 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.

Blood Res 2021;56:S17~S25 https://doi.org/10.5045/br.2021.2020323
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