http://www.cnr.it/ontology/cnr/individuo/prodotto/ID26503
Atypical features of familial hemophagocytic lymphohistiocytosis (Articolo in rivista)
- Type
- Label
- Atypical features of familial hemophagocytic lymphohistiocytosis (Articolo in rivista) (literal)
- Anno
- 2004-01-01T00:00:00+01:00 (literal)
- Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#doi
- 10.1182/blood-2003-10-3551 (literal)
- Alternative label
- Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#autori
- Busiello R.; Adriani M.; Locatelli F.; Galgani M.; Fimiani G.; Clementi R.; Ursini M.V.; Racioppi L. and Pignata C. (literal)
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- Rivista
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- Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#descrizioneSinteticaDelProdotto
- Note
- ISI Web of Science (WOS) (literal)
- Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#affiliazioni
- IGB, ABT, CNR, Napoli
Dipartimento di Pediatria, Università Federico II, Napoli (literal)
- Titolo
- Atypical features of familial hemophagocytic lymphohistiocytosis (literal)
- Abstract
- Familial hemophagocytic lymphohistiocytosis (FHLH) is a rare, rapidly progressive disorder of early childhood characterized by uncontrolled activation of T cells and macrophages. Although perforin gene mutations
have been described in a proportion of patients with FHLH, the genotype/phenotype correlation is still limited. Only a few patients with late onset clinical manifestations have been reported. The biochemical and immunologic alterations in the asymptomatic phase are not well known. We report on a family in which 2
fraternal twins both homozygous for a perforin mutation previously described as causative of the disease, markedly differed in phenotypic expression of FHLH. The twins also had a second novel heterozygous mutation. Natural killer (NK) activity was severely impaired in the patient and was normal in the asymptomatic
fraternal twin. Our report highlights that FHLH may present after a long diseasefree interval during which biochemical or immunologic alterations may be not evident, thus implying a role for interfering
factors. (literal)
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