Evidence map›Paper›PMID 30850926›Full record

ArticleInternational journal of hematology2019

Hemophagocytic lymphohistiocytosis as a harbinger of aggressive lymphoma: a case series.

Oren Pasvolsky, Adi Zoref-Lorenz, Uri Abadi, Karyn Revital Geiger, Lucille Hayman, Iuliana Vaxman, Pia Raanani, Avi Leader

Abstract readCase Reports
PubMed Publisher
In one paragraph

Article in International journal of hematology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.8field-weighted citation impact, top 15% 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

15 citing papers in PubMed, 22 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Inpatient recognition and management of HLH.Hematology. American Society of Hematology. Education Program · 2023
    Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. A Fatal Etiology of Splenic Infarction.Journal of community hospital internal medicine perspectives · 2022
    Article
  14. Hemophagocytic lymphohistiocytosis as a presentation of T-cell lymphoma.Revista de la Facultad de Ciencias Medicas (Cordoba, Argentina) · 2021
    Article
  15. Article
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

8 authors at 1 institution in 1 country.

Oren PasvolskyDavidoff Cancer Center, Rabin Medical Center, Institute of Hematology, Beilinson Hospital, 49100, Petah Tikva, Israel. orenpasv@gmail.com.ORCID http://orcid.org/0000-0001-9193-0059
Adi Zoref-LorenzDepartment of Internal Medicine B, Meir Medical Center, Kfar Saba, Israel.
Uri AbadiHematology Institute and Blood Bank, Meir Medical Center, Kfar Saba, Israel.
Karyn Revital GeigerDavidoff Cancer Center, Rabin Medical Center, Institute of Hematology, Beilinson Hospital, 49100, Petah Tikva, Israel.
Lucille HaymanDepartment of Pathology, Rabin Medical Center, Petah Tikva, Israel.
Iuliana VaxmanDavidoff Cancer Center, Rabin Medical Center, Institute of Hematology, Beilinson Hospital, 49100, Petah Tikva, Israel.
Pia RaananiDavidoff Cancer Center, Rabin Medical Center, Institute of Hematology, Beilinson Hospital, 49100, Petah Tikva, Israel.
Avi LeaderDavidoff Cancer Center, Rabin Medical Center, Institute of Hematology, Beilinson Hospital, 49100, Petah Tikva, Israel.
Tel Aviv University · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hemophagocytic lymphohistiocytosis (HLH) is a rare hyperinflammatory syndrome, which can manifest either secondary to a variety of underlying causes, or due to a primary genetic defect. Malignancy is the most common underlying disease in adults with HLH, with lymphomas being the most common malignancy. Lymphoma-associated hemophagocytic syndrome (LAHS) typically follows a rapidly progressive clinical course and is associated with poor prognosis. We herein present four patients with HLH associated with aggressive lymphoma. At initial presentation, the underlying etiology of the HLH was unclear. Two patients were eventually diagnosed with anaplastic large cell lymphoma, while the other two had diffuse large B cell lymphoma. Two of the patients experienced rapid clinical deterioration, one at diagnosis and the other at relapse, and both died prior to diagnosis of lymphoma despite HLH-directed therapy. These cases highlight the need for intensive management in adults with HLH without a clear etiology, especially in cases when lymphoma-associated HLH is suspected. We describe the current pitfalls in diagnosis and treatment of LAHS and discuss possible ways to improve patient management.

Indexed as

Lymphohistiocytosis, HemophagocyticLymphoma, Large B-Cell, DiffuseLymphoma, Large-Cell, AnaplasticAgedAged, 80 and overHumansMaleMiddle AgedB cell lymphomaHemophagocytic lymphohistiocytosisMalignancyT cell lymphoma

Identifiers

PMID30850926
OpenAlexW2921795031

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.