Mucosa-associated lymphoid tissue lymphoma-induced hemophagocytic lymphohistiocytosis: A case report

Mucosa-associated lymphoid tissue (MALT) lymphoma-induced hemophagocytic lymphohistiocytosis (HLH) has rarely been reported. Herein, we report the diagnosis and treatment process of a patient with MALT lymphoma-induced HLH who received chemotherapy after diagnosis and finally achieved partial remiss...

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Main Authors: Dan Wu, Fang Bao, Yong Huang
Format: Article
Language:English
Published: SAGE Publishing 2022-10-01
Series:European Journal of Inflammation
Online Access:https://doi.org/10.1177/1721727X221137488
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author Dan Wu
Fang Bao
Yong Huang
author_facet Dan Wu
Fang Bao
Yong Huang
author_sort Dan Wu
collection DOAJ
description Mucosa-associated lymphoid tissue (MALT) lymphoma-induced hemophagocytic lymphohistiocytosis (HLH) has rarely been reported. Herein, we report the diagnosis and treatment process of a patient with MALT lymphoma-induced HLH who received chemotherapy after diagnosis and finally achieved partial remission. In this case, blood cells were only reduced to grade II at the time of diagnosis, and the patient was then treated with the R-CHOP regimen (rituximab plus cyclophosphamide, doxorubicin, vincristine, and prednisone). HLH responded well to treatment. Laboratory data indicative of HLH and blood chemistry results were steadily normalized, and hepatosplenomegaly resolved. One month after chemotherapy, the patient achieved partial remission. The results also showed that the treatment was successful. In conclusion, treatment of lymphoma-triggered HLH needs to balance HLH-specific and lymphoma-specific treatment. Once HLH is initially controlled or the decrease in blood cells is better than grade II, it should actively transition to lymphoma treatment.
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spelling doaj.art-e2150167cb784f888dee9921d6aa7ab62022-12-22T03:22:14ZengSAGE PublishingEuropean Journal of Inflammation2058-73922022-10-012010.1177/1721727X221137488Mucosa-associated lymphoid tissue lymphoma-induced hemophagocytic lymphohistiocytosis: A case reportDan WuFang BaoYong HuangMucosa-associated lymphoid tissue (MALT) lymphoma-induced hemophagocytic lymphohistiocytosis (HLH) has rarely been reported. Herein, we report the diagnosis and treatment process of a patient with MALT lymphoma-induced HLH who received chemotherapy after diagnosis and finally achieved partial remission. In this case, blood cells were only reduced to grade II at the time of diagnosis, and the patient was then treated with the R-CHOP regimen (rituximab plus cyclophosphamide, doxorubicin, vincristine, and prednisone). HLH responded well to treatment. Laboratory data indicative of HLH and blood chemistry results were steadily normalized, and hepatosplenomegaly resolved. One month after chemotherapy, the patient achieved partial remission. The results also showed that the treatment was successful. In conclusion, treatment of lymphoma-triggered HLH needs to balance HLH-specific and lymphoma-specific treatment. Once HLH is initially controlled or the decrease in blood cells is better than grade II, it should actively transition to lymphoma treatment.https://doi.org/10.1177/1721727X221137488
spellingShingle Dan Wu
Fang Bao
Yong Huang
Mucosa-associated lymphoid tissue lymphoma-induced hemophagocytic lymphohistiocytosis: A case report
European Journal of Inflammation
title Mucosa-associated lymphoid tissue lymphoma-induced hemophagocytic lymphohistiocytosis: A case report
title_full Mucosa-associated lymphoid tissue lymphoma-induced hemophagocytic lymphohistiocytosis: A case report
title_fullStr Mucosa-associated lymphoid tissue lymphoma-induced hemophagocytic lymphohistiocytosis: A case report
title_full_unstemmed Mucosa-associated lymphoid tissue lymphoma-induced hemophagocytic lymphohistiocytosis: A case report
title_short Mucosa-associated lymphoid tissue lymphoma-induced hemophagocytic lymphohistiocytosis: A case report
title_sort mucosa associated lymphoid tissue lymphoma induced hemophagocytic lymphohistiocytosis a case report
url https://doi.org/10.1177/1721727X221137488
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AT fangbao mucosaassociatedlymphoidtissuelymphomainducedhemophagocyticlymphohistiocytosisacasereport
AT yonghuang mucosaassociatedlymphoidtissuelymphomainducedhemophagocyticlymphohistiocytosisacasereport