Evidence map›Paper›PMID 42396464›Full record

ArticleFrontiers in immunology2026

Modified treatment protocol for pediatric systemic lupus erythematosus-associated hemophagocytic lymphohistiocytosis with central nervous system involvement: a case report.

Mingda Tian, Yinzhu Zhang, Danyang Zhang, Chunyi Zhang, Yang Zheng, Junjin Huang, Hebing Zhou, Jiayue Qin, Ming Yang, Yan Yue

Abstract readCase Reports
In one paragraph

Article in Frontiers in immunology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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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

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0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Mingda Tian *Department of Pediatrics, Beijing United Family Women's and Children's Hospital, Beijing, China.
Yinzhu Zhang *Department of Pediatrics, Beijing United Family Women's and Children's Hospital, Beijing, China.
Danyang Zhang *Department of Hematology, Beijing Lu He Hospital, Beijing, China.
Chunyi ZhangDepartment of Pediatrics, Beijing United Family Women's and Children's Hospital, Beijing, China.
Yang ZhengDepartment of Pediatrics, Beijing United Family Women's and Children's Hospital, Beijing, China.
Junjin HuangDepartment of Pediatrics, Beijing United Family Women's and Children's Hospital, Beijing, China.
Hebing ZhouDepartment of Hematology, Beijing Lu He Hospital, Beijing, China.
Jiayue QinDepartment of Medical Affairs, Acornmed Biotechnology Co., Ltd., Beijing, China.
Ming YangDepartment of Pediatrics, Beijing United Family Women's and Children's Hospital, Beijing, China.
Yan YueDepartment of Hematology, Beijing Lu He Hospital, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hemophagocytic lymphohistiocytosis (HLH), a severe, life-threatening hyperinflammatory syndrome driven by dysregulated immune activation, is characterized by rapid clinical deterioration and poor outcomes that pose critical challenges for clinical management. Here, we report on a female patient aged 10 years and 3 months who was diagnosed with systemic lupus erythematosus (SLE)-associated hemophagocytic lymphohistiocytosis with central nervous system (CNS) involvement. Treatment with the conventional HLH-94/2004 regimen failed to control disease progression. Subsequently, second-line salvage therapy, consisting of emapalumab in combination with teniposide and dexamethasone, was initiated to account for the CNS involvement. The patient achieved sustained, complete clinical response following use of this modified therapeutic approach. Our findings suggest that this combination regimen may offer a potentially feasible therapeutic alternative for managing patients with SLE-associated HLH accompanied by CNS involvement; however, given the single-case nature of this report, further validation in larger cohorts is needed.

Indexed as

Lupus Erythematosus, SystemicLymphohistiocytosis, HemophagocyticAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedAntibodies, NeutralizingChildDexamethasoneFemaleHumansTreatment OutcomeAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedAntibodies, NeutralizingDexamethasoneEmapalumabcase reportCNSemapalumabHLHSLE

Identifiers

PMID42396464
PMCPMC13325416

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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.