Evidence map›Paper›PMID 30210740›Full record

ArticleMediterranean journal of hematology and infectious diseases2018

Hemophagocytic Lymphohistiocytosis in Adults: Low Incidence of Primary Neoplasm as a Trigger in a Case Series from Turkey.

Ferhat Arslan, Sehnaz Alp, Yahya Büyükasık, Melda Comert Ozkan, Fahri Şahin, Seniha Basaran, Arif Atahan Cagatay, Ömer Haluk Eraksoy, Kenan Aksu, Barış Ertunç and 3 more

Abstract read
In one paragraph

Article in Mediterranean journal of hematology and infectious diseases, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors.

Ferhat ArslanDepartment of Infectious Diseases and Clinical Microbiology, Faculty of Medicine, Istanbul Medeniyet University, Istanbul, Turkey.
Sehnaz AlpDepartment of Infectious Diseases and Clinical Microbiology, Faculty of Medicine, Hacettepe University, Ankara, Turkey.
Yahya BüyükasıkDepartment of Hematology, Faculty of Medicine, Hacettepe University, Ankara, Turkey.
Melda Comert OzkanDepartment of Hematology, Faculty of Medicine, Ege University, İzmir, Turkey.
Fahri ŞahinDepartment of Hematology, Faculty of Medicine, Ege University, İzmir, Turkey.
Seniha BasaranDepartment of Infectious Diseases and Clinical Microbiology, Faculty of Medicine, Istanbul University, Istanbul, Turkey.
Arif Atahan CagatayDepartment of Infectious Diseases and Clinical Microbiology, Faculty of Medicine, Istanbul University, Istanbul, Turkey.
Ömer Haluk EraksoyDepartment of Infectious Diseases and Clinical Microbiology, Faculty of Medicine, Istanbul University, Istanbul, Turkey.
Kenan AksuDepartment of Internal Medicine, Division of Rheumatology, Faculty of Medicine, Ege University, İzmir, Turkey.
Barış ErtunçDepartment of Infectious Diseases and Clinical Microbiology, Faculty of Medicine, Karadeniz Technical University, Trabzon, Turkey.
Volkan KortenDepartment of Infectious Diseases and Clinical Microbiology, Faculty of Medicine, Marmara University, Istanbul, Turkey.
Bahadır CeylanDepartment of Infectious Diseases and Clinical Microbiology, Faculty of Medicine, Istanbul Medipol University, Istanbul, Turkey.
Ali MertDepartment of Infectious Diseases and Clinical Microbiology, Faculty of Medicine, Istanbul Medipol University, Istanbul, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hemophagocytic Lymphohistiocytosis (HLH) is an indicator of an exaggerated immune response and eventually adverse outcomes. This study aimed to investigate the clinical and laboratory features and outcomes of patients with HLH. The medical records of 26 HLH adult patients (≥ 16 years of age) were retrospectively analyzed. Gender, age, the duration of fever, time to diagnosis, etiology and laboratory data were extracted from the records. The mean age was 38 ± 18 years, and 15 (58%) patients were female. A total of nine cases had infectious diseases; four cases had rheumatologic diseases, three cases had hematological malignancies while nine cases could not have a definitive diagnosis. The median time to detection of HLH was 20 days (IQR: 8-30 d). Of the 25 patients, 11 (44%) died. The erythrocyte sedimentation rates of the surviving and non-surviving patients were 39 ± 22 mm/h and 15 ± 13 mm/h, respectively. When a long-lasting fever is complicated by bicytopenia or pancytopenia (especially), clinicians should promptly consider the possibility of HLH syndrome to improve patients' prognosis.

Indexed as

CytopeniaFerritinFever of unknown originHemophagocytic lymphohistiocytosis

Identifiers

PMID30210740
PMCPMC6131110

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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.