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Indian Journal of Cancer Education and Research

Volume  3, Issue 2, Jul-Dec 2015, Pages 71-74
 

Review Article

HLH, Lymphoma, CMV and HLH : Heterogeneous Presentation of HLH in Lymphoma

Raghuveer Prabhu Santhakumara*, Pavan Kumar Boyella*, Geeta Vidyadharan**, Indu R. N.**, Vinayak Munirathnam*, Rema G.*, Annu Susan George*, Vijay Kumar S.*, Neeraj Sidharthan*

*Department of Medical Oncology and Hematology, ** Department of Pathology, Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham University, Kochi, India.

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DOI: DOI: https://dx.doi.org/10.21088/ijcer.2321.9815.3215.4

Abstract
Hemophagocytic Lymphohistiocytosis is a condition in which often there is a diagnostic delay due to non-specific clinical manifestations. We recently had two cases of Lymphoma associated hemophagocytic syndrome(LAHS)- while one presented with hemophagocytic lymphohistiocytosis (HLH) the other case developed HLH after achieving a complete remission secondary to a complication of chemotherapy. The description of the cases is followed by relevant discussion of pertinent points. In this article, we want to highlight the importance of evaluating for a lymphoproliferative disorder in a case of HLH as well as considering HLH in patients with lymphoma who have unexplained constitutional symptoms and cytopenias.

Keywords: Hemophagocytic Lymphohistiocytosis; Diffuse Large B Cell Lymphoma; T/Nk Cell Lymphoma; Hodgkins Lymphoma; Cytomegalovirus. 


Corresponding Author : Raghuveer Prabhu Santhakumara*