Histiocytic haemophagocytosis in a patient with Kawasaki disease: Changes in the hypercytokinaemic state

Shouichi Ohga, Akio Ooshima, Junichiro Fukushige, Kohji Ueda

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Abstract

Abstract: A 32-month-old Japanese boy exhibited haemophagocytic syndrome (HPS) during the recurrent course of Kawasaki disease. Despite repeated γ-globulin therapy, he developed cytopenia with marked hepatomegaly and evidence of histiocytic haemophagocytosis in the bone marrow. Serum levels of interferon-γ and tumour necrosis factor, but not of interleukin-1β, increased in parallel with his symptoms. No confirmation was obtained of the association of toxic reactions to the used drugs. No coronary lesions remained as sequelae. Conclusion: Cytopenia in Kawasaki disease could herald HPS, and the hypercytokinaemia involved in the two febrile syndromes might be of distinct nature.

Original languageEnglish
Pages (from-to)539-541
Number of pages3
JournalEuropean Journal of Pediatrics
Volume154
Issue number7
DOIs
Publication statusPublished - Jul 1 1995

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All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health

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