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Familial Hemophagocytic Lymphohistiocytosis Type 2 in a Korean Infant With Compound Heterozygous PRF1 Defects Involving a PRF1 Mutation, c.1091T>G

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초록

Dear Editor, Hemophagocytic lymphohistiocytosis (HLH) is a life-threatening hyperinflammatory disorder that is characterized by fever, hepatosplenomegaly, and cytopenia. Primary HLH is an autosomal recessive disease and appears in infants or young children, whereas secondary HLH affects older children or adults who do not have a family history of similar conditions or a confirmed genetic disorder. Known gene mutations and their associated familial HLH (FHL) subtypes are as follows: PRF1 with FHL2, UNC13D with FHL3, STX11 with FHL4, and most recently, STXBP2 with FHL5 [1]. Here, we report a rare case of HLH with a novel PRF1 mutation.

Abstract

Dear Editor, Hemophagocytic lymphohistiocytosis (HLH) is a life-threatening hyperinflammatory disorder that is characterized by fever, hepatosplenomegaly, and cytopenia. Primary HLH is an autosomal recessive disease and appears in infants or young children, whereas secondary HLH affects older children or adults who do not have a family history of similar conditions or a confirmed genetic disorder. Known gene mutations and their associated familial HLH (FHL) subtypes are as follows: PRF1 with FHL2, UNC13D with FHL3, STX11 with FHL4, and most recently, STXBP2 with FHL5 [1]. Here, we report a rare case of HLH with a novel PRF1 mutation.

참고문헌 (10)

  1. Usmani GN, "Advances in understanding the pathogenesis of HLH", Br J Haematol, 161, pp.609~622 (2013)
  2. Kogawa K, "Perforin expression in cytotoxic lymphocytes from patients with hemophagocytic lymphohistiocytosis and their family members", Blood, 99, pp.61~66 (2002)
  3. Chung HJ, "Establishment of a reference interval for natural killer cell activity through flow cytometry and its clinical application in the diagnosis of hemophagocytic lymphohistiocytosis", Int J Lab Hematol, 32, pp.239~247 (2010)
  4. Henter JI, "HLH-2004: Diagnostic and therapeutic guidelines for hemophagocytic lymphohistiocytosis", Pediatr Blood Cancer, 48, pp.124~131 (2007)
  5. Seo JY, "Founder effects in two predominant intronic mutations of UNC13D, c.118-308C>T and c.754-1G>C underlie the unusual predominance of type 3 familial hemophagocytic lymphohistiocytosis (FHL3) in Korea", Ann Hematol, 92, pp.357~364 (2013)
  6. Yoon HS, "UNC13D is the predominant causative gene with recurrent splicing mutations in Korean patients with familial hemophagocytic lymphohistiocytosis", Haematologica, 95, pp.622~626 (2010)
  7. 김재연, "A novel PRF1 gene mutation in a fatal neonate case with type 2 familial hemophagocytic lymphohistiocytosis", Korean Journal of Pediatrics, 57(1), pp.50~53 (2014), 대한소아과학회
  8. Trizzino A, "Genotype-phenotype study of familial haemophagocytic lymphohistiocytosis due to perforin mutations", J Med Genet, 45, pp.15~21 (2008)
  9. Ishii E, "Review of hemophagocytic lymphohistiocytosis (HLH) in children with focus on Japanese experiences", Crit Rev Oncol Hematol, 53, pp.209~223 (2005)
  10. Chiang GP, "Perforin gene mutation in familial haemophagocytic lymphohistiocytosis: the first reported case from Hong Kong", Hong Kong Med J, 20, pp.339~342 (2014)

관련 논문AI추천

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