Knowledge Check
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Name 4 mechanisms of pancytopenia?
Click for AnswerTrue of false: elevated ferritin > 6,000 ng/ml is diagnostic of HLH
a
True
b
False
- Fever (T > 38.5°C)
- Splenomegaly
- Cytopenias affecting at least 2 cell lineages
- Hgb < 9 g/dL, platelets < 100×109/L, absolute neutrophil count < 100×109/L
- Hypertriglyceridemia (>265 mg/dL) and/or hypofibrinogenemia (<150 mg/dL)
- Hemophagocytosis in bone marrow, spleen, lymph nodes, or liver
- Low or absent NK cell activity
- Ferritin >500 mg/L
- Increased soluble IL2 receptor concentration
Which of the following are possible causes of acquired HLH?
a
Infection
b
Malignancy
c
Medication
d
Autoimmune disease
True of false: The first line treatment of HLH is with methotrexate
a
True
b
False
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