Table 4: HLH- 2004 diagnostic criteria.
Diagnosis of HLH can be established if Criterion 1 or 2 is fulfilled [14].
|
HLH-2004 Diagnostic Criteria |
Criteria satisfied by patient |
|
1. A molecular diagnosis consistent with HLH |
Yes |
|
2. Dx criteria for HLH (5 of 8 required) |
- |
|
Fever |
Yes |
|
Splenomegaly |
Yes |
|
Cytopenias (affecting at least 2 of 3 lineages) |
- |
|
Hemoglobin <90 g/L |
- |
|
Platelets <100 ×10^9 /L |
- |
|
Neutrophils <1.0 ×10^9/L |
- |
|
Hypertriglyceridemia (>265 ng/dL) and/or Hypofibrinogenemia (<1.5g/L) |
- |
|
Hemophagocytosis in the bone marrow, spleen or lymph node |
- |
|
Low to no NK cell activity |
- |
|
Ferritin >500 ug/L |
Yes |
|
sCD25 > 2400 U/mL |
- |