Etoposide‐based treatment of adult HLH is associated with high biochemical response but poor survival outcomes

Autor: Andre Mattman, David Dix, Luke Y.C. Chen, Leonie Naeije, Anna Hayden, Matthew C. Nicholson
Rok vydání: 2020
Předmět:
Zdroj: eJHaem. 1:277-280
ISSN: 2688-6146
DOI: 10.1002/jha2.57
Popis: Etoposide-based treatment is the standard of care for adult HLH in many centers, yet there remains a paucity of data regarding treatment outcomes. We conducted a retrospective study of 23 adults treated with etoposide-based therapy compared to 10 pediatric HLH cases at a single center. At diagnosis, the median serum ferritin was 20,071 µg/L and 937 µg/L in adults and children, respectively; median sIL-2r was 14,524 U/mL and 4,478 U/mL. Biochemical response to treatment was high, with 21/23 adults achieving75% reduction in serum ferritin, but one year survival was only 7/21 compared to 7/10 in pediatric cases.
Databáze: OpenAIRE