Hemophagocytosis

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Micrograph showing hemophagocytosis in the spleen. H&E stain. Hemophagocytic syndrome - cropped - very high mag.jpg
Micrograph showing hemophagocytosis in the spleen. H&E stain.

Hemophagocytosis is phagocytosis by histiocytes of erythrocytes, leukocytes, platelets, and their precursors [1] in bone marrow and other tissues.

It is part of the presentation of hemophagocytic lymphohistiocytosis and Macrophage activation syndrome. It has also been seen at autopsy of people who died of COVID-19. [2]

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Malignant histiocytosis is a rare hereditary disease found in the Bernese Mountain Dog and humans, characterized by histiocytic infiltration of the lungs and lymph nodes. The liver, spleen, and central nervous system can also be affected. Histiocytes are a component of the immune system that proliferate abnormally in this disease. In addition to its importance in veterinary medicine, the condition is also important in human pathology.

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Hemophagocytic lymphohistiocytosis (HLH), also known as haemophagocytic lymphohistiocytosis, and hemophagocytic or haemophagocytic syndrome, is an uncommon hematologic disorder seen more often in children than in adults. It is a life-threatening disease of severe hyperinflammation caused by uncontrolled proliferation of activated lymphocytes and macrophages, characterised by proliferation of morphologically benign lymphocytes and macrophages that secrete high amounts of inflammatory cytokines. It is classified as one of the cytokine storm syndromes. There are inherited and non-inherited (acquired) causes of hemophagocytic lymphohistiocytosis (HLH).

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References

  1. "Hemophagocytic Syndromes and Infection".
  2. Satturwar, Swati; Fowkes, Mary; Farver, Carol; Wilson, Allecia M.; Eccher, Albino; Girolami, Ilaria; Pujadas, Elisabet; Bryce, Clare; Salem, Fadi; El Jamal, Siraj M.; Paniz-Mondolfi, Alberto; Petersen, Bruce; Gordon, Ronald E.; Reidy, Jason; Fraggetta, Filippo; Marshall, Desiree A.; Pantanowitz, Liron (2021). "Postmortem Findings Associated With SARS-CoV-2". American Journal of Surgical Pathology (5): 587–603. doi: 10.1097/PAS.0000000000001650 . ISSN   0147-5185. PMC   8132567 .