Haemophagocytic Lymphohistiocytosis in Inflammatory Bowel Disease with Virus Infection
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Patients with inflammatory bowel disease (IBD) are at risk of developing haemophagocytic lymphohistiocytosis (HLH) because of chronic systemic inflammation as well as exposure to immunosuppressive medications. The two main causes of HLH in IBD patients are infection with cytomegalovirus and Epstein-Barr virus. Patients with Crohn's disease are more susceptible to HLH than those with ulcerative colitis. The majority of cases are seen in people receiving an immunosuppressive regimen that included thiopurines.
Tong Q, Godbole M, Biniwale N, Jamshed S Cureus. 2019; 11(4):e4548.
PMID: 31275772 PMC: 6592840. DOI: 10.7759/cureus.4548.
Booth A, Osehobo P, Rodgers-Soriano D, Lalarukh A, Eltorky M, Stevenson H Case Rep Gastroenterol. 2018; 12(1):99-108.
PMID: 29805352 PMC: 5968292. DOI: 10.1159/000486190.
Gastrointestinal Disorders Associated with Primary Immunodeficiency Diseases.
Hartono S, Ippoliti M, Mastroianni M, Torres R, Rider N Clin Rev Allergy Immunol. 2018; 57(2):145-165.
PMID: 29754192 DOI: 10.1007/s12016-018-8689-9.
Thompson G, Pepperell D, Lawrence I, McGettigan B BMJ Case Rep. 2017; 2017.
PMID: 28228435 PMC: 5337688. DOI: 10.1136/bcr-2016-218578.