Evidence map›Paper›PMID 26872683›Full record

ReviewIndian journal of pediatrics2016

Current Updates on Classification, Diagnosis and Treatment of Hemophagocytic Lymphohistiocytosis (HLH).

Manisha Madkaikar, Snehal Shabrish, Mukesh Desai

Abstract readReview
PubMed Publisher
In one paragraph

Review in Indian journal of pediatrics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
6.1field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 78 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

Manisha MadkaikarDepartment of Pediatric Immunology and Leukocyte Biology, National Institute of Immunohematology (ICMR), 13th floor, Multistoreyed Building, KEM Campus, Parel, Mumbai, 400 012, India. madkaikarm@icmr.org.in.
Snehal ShabrishDepartment of Pediatric Immunology and Leukocyte Biology, National Institute of Immunohematology (ICMR), 13th floor, Multistoreyed Building, KEM Campus, Parel, Mumbai, 400 012, India.
Mukesh DesaiDivision of Immunology, Bai Jerbai Wadia Hospital for Children, Mumbai, India.
National Institute of Immunohaematology · INBai Jerbai Wadia Hospital for Children · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hemophagocytic lymphohistiocytosis (HLH) is a life threatening hyperinflammatory syndrome characterized by excessive activation of macrophages and T cells resulting from defective cytotoxicity. Severe hyperinflammation caused by uncontrolled proliferation of activated lymphocytes and histiocytes (macrophages) secreting high amounts of inflammatory cytokines threatens the life of the patient and may lead to death unless arrested by appropriate treatment. HLH can be caused either by certain underlying genetic diseases (familial HLH), or may also occur due to particular triggers in patients with no known inherited disorder (acquired HLH). Due to life threatening nature of the disease, early diagnosis and initiation of immunosuppressive therapy is extremely important. HLH diagnosis is based on constellation of clinical manifestations and laboratory parameters which often overlap with those of severe infection or sepsis. Identification of patients with familial HLH and their underlying genetic defects requires specialized laboratory tests and is important for predicting relapses and planning early therapeutic hematopoietic stem cell transplantation (HSCT). A high suspicion and thorough clinical, immunological and genetic work-up is required for diagnosis of HLH. Prompt initiation of adequate treatment is essential for the survival. Substantial progress has been made in exploring the complex cause and pathophysiology of HLH and also in management of HLH patients.

Indexed as

Lymphohistiocytosis, HemophagocyticDisease ManagementEarly DiagnosisGenetic TestingHematopoietic Stem Cell TransplantationHumansImmunologic TestsImmunosuppression TherapySecondary PreventionFamilial HLH (FHL)Hemophagocytic lymphohistiocytosis (HLH)NK cellsPathophysiology

Identifiers

PMID26872683
OpenAlexW2276557969

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.