Evidence map›Paper›PMID 41028446›Full record

ReviewAnnals of hematology2025

Hemophagocytic lymphohistiocytosis caused by dual mutations in UNC13D and STX11 induced by HHV-7: a case report and review of the literature.

Xiaoqiong Wang, Yao Zhang, Lijuan Zhou, Xiaona Yin, Chuchu Xu, Jiakui Zhang, Fangbin Du, Yongsheng Wang

Abstract readCase ReportsReview
In one paragraph

Review in Annals of hematology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Human herpesvirus type 7 and bone marrow disorders: a new association to consider in relation with a case report.Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia · 2026
    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.

Xiaoqiong WangDepartment of Respiratory and Critical Care Medicine, The Second People's Hospital of Hefei, Hefei Hospital Affilianted to Anhui Medical University, Hefei, 230011, Anhui, China.
Yao Zhang *Department of Respiratory and Critical Care Medicine, The Second People's Hospital of Hefei, Hefei Hospital Affilianted to Anhui Medical University, Hefei, 230011, Anhui, China.
Lijuan Zhou *Fifth Clinical Medical College of Anhui Medical University, Hefei, 230032, Anhui, China.
Xiaona YinDepartment of Respiratory and Critical Care Medicine, The Second People's Hospital of Hefei, Hefei Hospital Affilianted to Anhui Medical University, Hefei, 230011, Anhui, China.
Chuchu XuDepartment of Respiratory and Critical Care Medicine, The Second People's Hospital of Hefei, Hefei Hospital Affilianted to Anhui Medical University, Hefei, 230011, Anhui, China.
Jiakui ZhangDepartment of Respiratory and Critical Care Medicine, The Second People's Hospital of Hefei, Hefei Hospital Affilianted to Anhui Medical University, Hefei, 230011, Anhui, China.
Fangbin DuDepartment of Respiratory and Critical Care Medicine, The Second People's Hospital of Hefei, Hefei Hospital Affilianted to Anhui Medical University, Hefei, 230011, Anhui, China. dufangbing5445@126.com.
Yongsheng WangDepartment of Respiratory and Critical Care Medicine, The Second People's Hospital of Hefei, Hefei Hospital Affilianted to Anhui Medical University, Hefei, 230011, Anhui, China. wangyongshengah@163.com.

Funding

Applied Medical Research Project of Heifei Municipal Health Commission Hwk2023zd012Applied Medical Research Project of Heifei Municipal Health Commission Hwk2024zd016Scientific Research Projects of Higher Education Institutions in Anhui Province 2024AH050703The Research Project of the Health Commission of Anhui Province AHWJ2023Bac20117The Research Project of the Health Commission of Anhui Province AHWJ2024Ab0233the Science and Technology Project of Bengbu Medicai College 2023byzd248the Science and Technology Project of Bengbu Medicai College 2024byzd391The Second People's Hospital of Hefei City hospital-level topics 2024ykc002
6 · The paper itself

Abstract

Hemophagocytic lymphohistiocytosis (HLH) is a severe disorder caused by excessive activation of the immune system and is characterized by hyperinflammation and life-threatening multiple organ failure. We report a case of a 39-year-old female patient with rapidly progressive disease who presented with pancytopenia, coagulopathy, hepatic dysfunction, and hyperlipidemia. Laboratory tests revealed marked cytopenia, hypofibrinogenemia, hypertriglyceridemia, hyperferritinemia, elevated soluble CD25 levels, decreased natural killer cell activity, and hemophagocytosis in the bone marrow, meeting the diagnostic criteria for HLH. The HLH in this case was triggered by human herpesvirus 7 (HHV-7), which has rarely been reported. Genetic analysis revealed compound heterozygous mutations in two HLH-related genes, UNC13D (c.1232G > A) and STX11 (c.121 C > A), which were inherited from the mother and father, respectively, indicating a diagnosis of familial HLH. Hematopoietic stem cell transplantation remains the most effective treatment for this condition. This case highlights the importance of incorporating genetic testing into the early diagnostic workflow for HLH. Early identification of genetic predisposition is crucial for prognosis assessment and the selection of appropriate treatment strategies to improve clinical outcomes.

Indexed as

Herpesvirus 7, HumanLymphohistiocytosis, HemophagocyticMembrane ProteinsMutationQa-SNARE ProteinsRoseolovirus InfectionsAdultFemaleHumansMembrane ProteinsQa-SNARE ProteinsSTX11 protein, humanUNC13D protein, humanHemophagocytic lymphohistiocytosisHuman herpesvirus 7Illumina NovaSeq platformWhole-exome sequencing

Identifiers

PMID41028446
PMCPMC12764520

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Registered trials

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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.