Brain damage resembling acute necrotizing encephalopathy as a specific manifestation of haemophagocytic lymphohistiocytosis - induced by hypersensitivity. Issue 1 (December 2016)

• Record Type: Journal Article
• Authors: Dai, Dongling; Wen, Feiqiu; Liu, Sixi; Zhou, Shaoming
• Is Part Of: Italian journal of pediatrics. Volume 42:Issue 1(2016)
• Page Start: 1
• Page End: 7
• Publication Date: 2016-12
• Subjects: Acute necrotizing encephalopathy of childhood -- Brain damage -- Haemophagocytic lymphohistiocytosis -- Hypersensitivity; Pediatrics -- Periodicals; 618.920005
• DOI: 10.1186/s13052-016-0286-z
• Languages: English
• ISSNs: 1824-7288

Abstract

Abstract Background Both haemophagocytic lymphohistiocytosis and acute necrotizing encephalopathy are life-threatening condition. It presents major diagnostic difficulties, since it may have a diversity in clinical picture and with many conditions leading to the same clinical presentation. So it is key important to understand the disorders. Case presentation We report a pediatric case of haemophagocytic lymphohistiocytosis with specific presentation which predominantly featured as acute necrotizing encephalopathy of childhood. We discuss the diagnosis and differential diagnosis, and speculate the etiology of haemophagocytic lymphohistiocytosis is due to hypersensitivity. Conclusion Haemophagocytic lymphohistiocytosis and brain damage in this case may be induced by hypersensitivity, which have good clinical outcome if diagnosed and treated early.