Hemophagocytic syndrome in children Misdiagnosis.docVIP

 PAGE \* MERGEFORMAT 9 Hemophagocytic syndrome in children Misdiagnosis [Abstract] Objective 5 cases of hemophagocytic syndrome misdiagnosis and literature review, designed to improve grass-roots medical staff awareness of the disease. And methods in the blood in our hospital room since 1998 ~ 2004, 5 were misdiagnosed data, retrospectively reviewed and analyzed. Results hemophagocytic syndrome is extremely rare, of unknown etiology and pathogenesis, clinical diagnosis very difficult, easy to Misdiagnosis. Conclusion The diagnosis of hemophagocytic syndrome, as long as the master of the relevant diagnostic criteria and differential points, you can make early diagnosis, and thus control the disease. Keywords hemophagocytic syndrome leukemia, malignant histiocytosis syndrome of infectious mononucleosis In this paper, the blood of my hospital room from 1998 to 2004 in five cases of misdiagnosis analysis carried out retrospectively and analysis, are reported as follows. A clinical data 1.1 General information on five cases of hemophagocytic syndrome, 4 cases were male, and 1 female, age 1 to 4 years, 4 cases of a years old. Incidence of the season with 7 ~ September more common. Most of the first symptom to cough, fever started, high fever for 1 ~ 2 weeks, 38 ~ 41 ℃ , heat-type mixed admission. Sporadic cases with skin rash, swollen tonsils, palpation of liver, spleen, superficial lymph nodes are mostly mild swelling of the incidence of early, acute phase increased significantly; in which the Department of hepatomegaly in Youlei 3 ~ 7cm. Splenomegaly left rib cage is located in the Department of 1 ~ 3cm, superficial lymph node swelling to varying degrees, of the number of different. 2 patients with pleural effusion, 2 patients had renal damage, urinary protein positive, microscopy see the red white blood cells, granular casts. 1.2 Laboratory tests 1.2.1 The five cases were the performance of peripheral blood cells decreased and increased with the