Table 4: HLH- 2004 diagnostic criteria.
Diagnosis of HLH can be established if Criterion 1 or 2 is fulfilled [14].
HLH-2004 Diagnostic Criteria |
Criteria satisfied by patient |
1. A molecular diagnosis consistent with HLH |
Yes |
2. Dx criteria for HLH (5 of 8 required) |
- |
Fever |
Yes |
Splenomegaly |
Yes |
Cytopenias (affecting at least 2 of 3 lineages) |
- |
Hemoglobin <90 g/L |
- |
Platelets <100 ×10^9 /L |
- |
Neutrophils <1.0 ×10^9/L |
- |
Hypertriglyceridemia (>265 ng/dL) and/or Hypofibrinogenemia (<1.5g/L) |
- |
Hemophagocytosis in the bone marrow, spleen or lymph node |
- |
Low to no NK cell activity |
- |
Ferritin >500 ug/L |
Yes |
sCD25 > 2400 U/mL |
- |