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

-