» Articles » PMID: 33987058

Lenalidomide-Associated Hemophagocytic Lymphohistiocytosis With Plasma Cell Phagocytosis

Overview
Journal Cureus
Date 2021 May 14
PMID 33987058
Citations 2
Authors
Affiliations
Soon will be listed here.
Abstract

Hemophagocytic lymphohistiocytosis (HLH) is a severe systemic inflammatory syndrome that is often fatal. In the adult population, it is believed to develop secondary to immune dysregulation due to rheumatologic, infectious, malignant, and recently, immunomodulatory drugs. It's co-occurrence with phagocytosis by non-macrophage cells has not been previously well defined. We present a case of lenalidomide-associated HLH with concurrent plasma cell hemophagocytosis in a patient with controlled multiple myeloma (MM).

Citing Articles

Myeloma-associated hemophagocytic lymphohistiocytosis - A comprehensive case study and a novel chemotherapy-free approach with anakinra.

Al-Ammari M, Hsu D, Bryant A EJHaem. 2024; 5(5):1057-1062.

PMID: 39415906 PMC: 11474360. DOI: 10.1002/jha2.975.


Secondary Hemophagocytic Syndrome in a Patient with Plasma Cell Myeloma and CNS Involvement Treated with Lenalidomide.

Milczarek S, Kulig P, Baumert B, Lanocha A, Sommerfeld K, Borowiecka E Medicina (Kaunas). 2022; 58(10).

PMID: 36295511 PMC: 9606933. DOI: 10.3390/medicina58101350.

References
1.
Gojo I, Meisenberg B, Guo C, Fassas A, Murthy A, Fenton R . Autologous stem cell transplantation followed by consolidation chemotherapy for patients with multiple myeloma. Bone Marrow Transplant. 2005; 37(1):65-72. DOI: 10.1038/sj.bmt.1705192. View

2.
Daver N, McClain K, Allen C, Parikh S, Otrock Z, Rojas-Hernandez C . A consensus review on malignancy-associated hemophagocytic lymphohistiocytosis in adults. Cancer. 2017; 123(17):3229-3240. PMC: 5568927. DOI: 10.1002/cncr.30826. View

3.
Machaczka M, Vaktnas J, Klimkowska M, Nahi H, Hagglund H . Acquired hemophagocytic lymphohistiocytosis associated with multiple myeloma. Med Oncol. 2010; 28(2):539-43. DOI: 10.1007/s12032-010-9484-5. View

4.
Ramos J, Lorsbach R . Hemophagocytosis by neoplastic plasma cells in multiple myeloma. Blood. 2014; 123(11):1634. DOI: 10.1182/blood-2013-11-536771. View

5.
Henter J, Horne A, Arico M, Egeler R, Filipovich A, Imashuku S . HLH-2004: Diagnostic and therapeutic guidelines for hemophagocytic lymphohistiocytosis. Pediatr Blood Cancer. 2006; 48(2):124-31. DOI: 10.1002/pbc.21039. View