Antiphospholipid syndrome, ferritin and fever: Hyperferritinemic syndrome a nosological ally

Hyperferritinemic syndrome represents a common nosological classification for systemic inflammatory syndromes, including Catastrophic antiphospholipid syndrome, in which hyperferritinemia (> 500 ng/mL) is present. Recent studies suggest that in this syndrome, ferritin is more than a passive marke...

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Main Authors: Andrei Blanaru, Mara Adelina Benchea, Doina Nitescu, Iulia Diana Florescu, Razvan Adrian Ionescu
Format: Article
Language:English
Published: Amaltea Medical Publishing House 2023-06-01
Series:Romanian Journal of Rheumatology
Subjects:
Online Access:https://rjr.com.ro/articles/2023.2/RJR_2023_2_Art-06.pdf
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author Andrei Blanaru
Mara Adelina Benchea
Doina Nitescu
Iulia Diana Florescu
Razvan Adrian Ionescu
author_facet Andrei Blanaru
Mara Adelina Benchea
Doina Nitescu
Iulia Diana Florescu
Razvan Adrian Ionescu
author_sort Andrei Blanaru
collection DOAJ
description Hyperferritinemic syndrome represents a common nosological classification for systemic inflammatory syndromes, including Catastrophic antiphospholipid syndrome, in which hyperferritinemia (> 500 ng/mL) is present. Recent studies suggest that in this syndrome, ferritin is more than a passive marker of inflammation, playing an active role in the process. We present the case of a 74-year-old female patient with elevated serum ferritin levels (above 1000 ng/mL), along with an intense inflammatory syndrome, non-immune thrombotic microangiopathy, and multisystem involvement (pulmonary, cardiac, hepatic, pancreatic, neurological and renal changes), outlining the picture of a hyperferritinemic syndrome that is hard to classify otherwise. This underlines the necessity for diagnostic and classification criteria for this pathology.
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spelling doaj.art-2344095e7ca7463fa410e75cdf2b73392024-01-09T11:09:42ZengAmaltea Medical Publishing HouseRomanian Journal of Rheumatology1843-07912069-60862023-06-01322768510.37897/RJR.2023.2.6Antiphospholipid syndrome, ferritin and fever: Hyperferritinemic syndrome a nosological allyAndrei Blanaru0Mara Adelina Benchea1Doina Nitescu2Iulia Diana Florescu3Razvan Adrian Ionescu43rd Internal Medicine Department, Colentina Clinical Hospital, Bucharest, Romania 3rd Internal Medicine Department, Colentina Clinical Hospital, Bucharest, Romania 3rd Internal Medicine Department, Colentina Clinical Hospital, Bucharest, Romania 1st Nephrology Department, Hospital of Nephrology “Dr. Carol Davila”, Bucharest, Romania3rd Internal Medicine Department, Colentina Clinical Hospital, Bucharest, Romania; 2 “Carol Davila”, University of Medicine and Pharmacy, Bucharest, RomaniaHyperferritinemic syndrome represents a common nosological classification for systemic inflammatory syndromes, including Catastrophic antiphospholipid syndrome, in which hyperferritinemia (> 500 ng/mL) is present. Recent studies suggest that in this syndrome, ferritin is more than a passive marker of inflammation, playing an active role in the process. We present the case of a 74-year-old female patient with elevated serum ferritin levels (above 1000 ng/mL), along with an intense inflammatory syndrome, non-immune thrombotic microangiopathy, and multisystem involvement (pulmonary, cardiac, hepatic, pancreatic, neurological and renal changes), outlining the picture of a hyperferritinemic syndrome that is hard to classify otherwise. This underlines the necessity for diagnostic and classification criteria for this pathology.https://rjr.com.ro/articles/2023.2/RJR_2023_2_Art-06.pdfhyperferritinemic syndromecatastrophic antiphospholipid syndrome (caps)
spellingShingle Andrei Blanaru
Mara Adelina Benchea
Doina Nitescu
Iulia Diana Florescu
Razvan Adrian Ionescu
Antiphospholipid syndrome, ferritin and fever: Hyperferritinemic syndrome a nosological ally
Romanian Journal of Rheumatology
hyperferritinemic syndrome
catastrophic antiphospholipid syndrome (caps)
title Antiphospholipid syndrome, ferritin and fever: Hyperferritinemic syndrome a nosological ally
title_full Antiphospholipid syndrome, ferritin and fever: Hyperferritinemic syndrome a nosological ally
title_fullStr Antiphospholipid syndrome, ferritin and fever: Hyperferritinemic syndrome a nosological ally
title_full_unstemmed Antiphospholipid syndrome, ferritin and fever: Hyperferritinemic syndrome a nosological ally
title_short Antiphospholipid syndrome, ferritin and fever: Hyperferritinemic syndrome a nosological ally
title_sort antiphospholipid syndrome ferritin and fever hyperferritinemic syndrome a nosological ally
topic hyperferritinemic syndrome
catastrophic antiphospholipid syndrome (caps)
url https://rjr.com.ro/articles/2023.2/RJR_2023_2_Art-06.pdf
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AT doinanitescu antiphospholipidsyndromeferritinandfeverhyperferritinemicsyndromeanosologicalally
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