Table 1: Characteristic of patients at HLH diagnosis.
|
All patients (n=29) |
Malignancy-associated HLH
(n=15) |
Non malignancy-HLH (n=14) |
p value |
Mean age (± SD) |
58.4 (±18.6) |
61.1 (±18.5) |
55.6 (±19.0) |
0.47 |
Sex (M) n (%) |
|
8 (53) |
6 (43) |
0.57 |
Etiologies of secondary HLH |
|
T cell lymphoma (n=5) |
Adult onset Still’s disease (n=2) |
|
|
|
Diffuse large B cell
lymphoma (n=3) |
Psoriasis pustulosa (n=1) |
|
|
|
Hodgkin lymphoma (n=2) |
Rheumatic arthritis (n=1) |
|
|
|
Centroblastic lymphoma (n=1) |
SAPHO syndrome (n=1) |
|
|
|
Myelodysplastic disorder
(n=1) |
Granulomatous disease (n=1) |
|
|
|
Bladder cancer (n=1) |
Unknown recurrent fever
(n=1) |
|
|
|
Breast cancer (n=1) |
No known immunosuppression
(n=6) |
|
|
|
Liver cancer (n=1) |
|
|
Signs
and symptoms |
|
|
|
|
Fever n (%) |
27 (93) |
13 (87) |
14(100) |
> 0.99 |
Fatigue n (%) |
26 (90) |
15 (100) |
11 (78) |
0.21 |
Lymphadenopathy n (%) |
18 (62) |
12 (80) |
6 (43) |
0.039 |
Splenomegaly n (%) |
18 (62) |
11 (73) |
7 (50) |
0.2 |
Hepatomegaly n (%) |
12 (41) |
6 (40) |
6 (43) |
0.88 |
Weight loss >10% n (%) |
11(38) |
9 (60) |
2 (14) |
0.012 |
Effusion n (%) |
9 (31) |
5 (33) |
4 (29) |
> 0.99 |
Triad cytopenia/SMG/fever n(%) |
8 (28) |
6 (40) |
2 (14) |
0.21 |
Anorexia n (%) |
6 (20) |
5(33) |
1 (7) |
0.18 |
Exanthema n (%) |
5 (17) |
2 (13) |
3 (21) |
0.65 |
Headache n (%) |
4 (14) |
0 (0) |
4 (29) |
0.042 |
Abdominal pain n (%) |
3 (10) |
1 (7) |
2 (14) |
0.58 |
Arthralgia n (%) |
2 (7) |
0 (0) |
2 (14) |
0.19 |
SAPHO: Synovitis, Acne, Pustulosis,
Hyperostosis, and Osteitis.