Evidence map›Paper›PMID 42676484›Full record

ArticleFrontiers in medicine2026

The prognostic value of liver function abnormalities in adult secondary hemophagocytic lymphohistiocytosis.

Jujuan Wang, Guangli Yin

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Article in Frontiers in medicine, 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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1 · What the graph read from it

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2 · The registry

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4 · The record

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5 · Who and what money

Authors and funding

2 authors.

Jujuan WangDepartment of Hematology, The First Affiliated Hospital of Nanjing Medical University, Jiangsu Province Hospital, Nanjing, China.
Guangli YinDepartment of Hematology, The First Affiliated Hospital of Nanjing Medical University, Jiangsu Province Hospital, Nanjing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Adult secondary hemophagocytic lymphohistiocytosis (sHLH) is a disorder of immune dysregulation and hyperinflammation that is frequently accompanied by hepatic dysfunction. Evidence describing liver function test (LFT) abnormalities and their prognostic associations in adults with sHLH remains limited. Methods: In this retrospective study, clinical data and LFT results were obtained at admission from 269 patients with sHLH. Multivariable logistic regression and restricted cubic spline models were used to evaluate the associations between LFTs and in-hospital mortality. Results: Abnormal alanine aminotransferase (ALT), aspartate aminotransferase (AST), alkaline phosphatase (ALP), and total bilirubin (TBIL) levels were present in 56.5, 75.8, 61.3, and 42.0% of patients, respectively. In multivariable models, higher log-transformed ALP was associated with 28-day mortality (OR 2.84, 95% CI 1.16-7.22; Conclusion: Abnormal LFTs were common at admission, and ALP and TBIL may be useful prognostic markers of short-term in-hospital mortality in adults with sHLH.

Indexed as

hepatobiliary dysfunctionliver function test abnormalitieslymphomamortalitysecondary hemophagocytic lymphohistiocytosis

Identifiers

PMID42676484
PMCPMC13526917

What OpenQuestion holds

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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.