Postpartum fevers, a rare presentation of secondary hemophagocytic lymphohistiocytosis

Abstract Hemophagocytic lymphohistiocytosis (HLH) is a rare disease of excessive immune system activation. We report a case of HLH in a 20‐year‐old primigravid woman who presented with postpartum fevers. She was successfully treated with dexamethasone and anakinra, a deviation from the HLH‐94 protoc...

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Main Authors: Jacqueline Lee, Brian Pham, Zarir E. Karanjawala, Oyebimpe Adesina
Format: Article
Language:English
Published: Wiley 2023-03-01
Series:Clinical Case Reports
Subjects:
Online Access:https://doi.org/10.1002/ccr3.7070
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author Jacqueline Lee
Brian Pham
Zarir E. Karanjawala
Oyebimpe Adesina
author_facet Jacqueline Lee
Brian Pham
Zarir E. Karanjawala
Oyebimpe Adesina
author_sort Jacqueline Lee
collection DOAJ
description Abstract Hemophagocytic lymphohistiocytosis (HLH) is a rare disease of excessive immune system activation. We report a case of HLH in a 20‐year‐old primigravid woman who presented with postpartum fevers. She was successfully treated with dexamethasone and anakinra, a deviation from the HLH‐94 protocol, to preserve her ability to breastfeed.
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spelling doaj.art-72430e03f46e45b69f1b29368649e8372023-03-30T10:21:25ZengWileyClinical Case Reports2050-09042023-03-01113n/an/a10.1002/ccr3.7070Postpartum fevers, a rare presentation of secondary hemophagocytic lymphohistiocytosisJacqueline Lee0Brian Pham1Zarir E. Karanjawala2Oyebimpe Adesina3Department of Internal Medicine University of California Davis School of Medicine Sacramento California USADivision of Hematology and Oncology University of California Davis School of Medicine Sacramento California USADivision of Hematopathology University of California Davis School of Medicine Sacramento California USADivision of Hematology and Oncology University of California Davis School of Medicine Sacramento California USAAbstract Hemophagocytic lymphohistiocytosis (HLH) is a rare disease of excessive immune system activation. We report a case of HLH in a 20‐year‐old primigravid woman who presented with postpartum fevers. She was successfully treated with dexamethasone and anakinra, a deviation from the HLH‐94 protocol, to preserve her ability to breastfeed.https://doi.org/10.1002/ccr3.7070anakinrafever of unknown originhemophagocytic lymphohistiocytosispostpartum fevers
spellingShingle Jacqueline Lee
Brian Pham
Zarir E. Karanjawala
Oyebimpe Adesina
Postpartum fevers, a rare presentation of secondary hemophagocytic lymphohistiocytosis
Clinical Case Reports
anakinra
fever of unknown origin
hemophagocytic lymphohistiocytosis
postpartum fevers
title Postpartum fevers, a rare presentation of secondary hemophagocytic lymphohistiocytosis
title_full Postpartum fevers, a rare presentation of secondary hemophagocytic lymphohistiocytosis
title_fullStr Postpartum fevers, a rare presentation of secondary hemophagocytic lymphohistiocytosis
title_full_unstemmed Postpartum fevers, a rare presentation of secondary hemophagocytic lymphohistiocytosis
title_short Postpartum fevers, a rare presentation of secondary hemophagocytic lymphohistiocytosis
title_sort postpartum fevers a rare presentation of secondary hemophagocytic lymphohistiocytosis
topic anakinra
fever of unknown origin
hemophagocytic lymphohistiocytosis
postpartum fevers
url https://doi.org/10.1002/ccr3.7070
work_keys_str_mv AT jacquelinelee postpartumfeversararepresentationofsecondaryhemophagocyticlymphohistiocytosis
AT brianpham postpartumfeversararepresentationofsecondaryhemophagocyticlymphohistiocytosis
AT zarirekaranjawala postpartumfeversararepresentationofsecondaryhemophagocyticlymphohistiocytosis
AT oyebimpeadesina postpartumfeversararepresentationofsecondaryhemophagocyticlymphohistiocytosis