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Cytokine Profile in Fatal Human Immunodeficiency Virus–Tuberculosis–Epstein-Barr Virus–Associated Hemophagocytic Syndrome
Chun K. Wong, PhD;
Bonnie C. K. Wong, MRCP;
K. C. Allen Chan, MRCP, FRCPA;
Gavin M. Joynt, FCCP, FHKAM;
Florence Y. H. Y. Yap, MRCP, FHKAM;
Christopher W. K. Lam, PhD, FRCPath(Hon);
Nelson Lee, MRCP, FHKAM;
Shui S. Lee, FRCP, FHKAM;
Clive S. Cockram, MD, FRCP;
Joseph J. Y. Sung, MD, PhD, FRCP;
Paul K. S. Chan, MSc, MD, FRCPath;
Y. M. Dennis Lo, FRCP, FRCPath;
Julian W. Tang, PhD, MRCP, MRCPath
Arch Intern Med. 2007;167(17):1901-1903.
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Hemophagocytic syndrome (HPS), characterized by fever, lymphadenopathy, hepatosplenomegaly, and pancytopenia, results from the abnormal function and proliferation of macrophages and their uncontrolled phagocytosis of various reticuloendothelial cell lines. Secondary (or "reactive") HPS is associated with infection, malignancy, or autoimmune diseases, whereas primary HPS has no identifiable cause and may be genetic. Reactive HPS has been described in association with infectious agents, but Epstein-Barr virus (EBV) is the most commonly associated infection, and EBV-associated HPS is almost universally . . . [Full Text of this Article]Report of a Case
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