Macrophage activation syndrome at the onset of glucocorticoid-resistant systemic lupus erythematosus: a case report

Introduction. Macrophage activation syndrome (MAS) is a life-threatening hyperinflammatory state mediated by uncontrolled cytokine storm and haemophagocytosis. Although rarely reported, MAS might occur in systemic lupus erythematosus (SLE), notably as an inaugural manifestation. Glucocorticoids (GCs...

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Bibliographic Details
Main Authors: Tulbă Delia, Balea Marius, Băicuş Cristian
Format: Article
Language:English
Published: Sciendo 2018-03-01
Series:Romanian Journal of Internal Medicine
Subjects:
Online Access:https://doi.org/10.1515/rjim-2017-0035
Description
Summary:Introduction. Macrophage activation syndrome (MAS) is a life-threatening hyperinflammatory state mediated by uncontrolled cytokine storm and haemophagocytosis. Although rarely reported, MAS might occur in systemic lupus erythematosus (SLE), notably as an inaugural manifestation. Glucocorticoids (GCs) are the cornerstone of SLE therapy. However, in some cases high doses of GCs are required to achieve remission (i.e. glucocorticoid-resistance), leading to significant side effects.
ISSN:2501-062X