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Adult cancer-related hemophagocytic lymphohistiocytosis – a challenging diagnosis: a case report

Overview of attention for article published in Journal of Medical Case Reports, June 2017
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  • Above-average Attention Score compared to outputs of the same age and source (58th percentile)

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1 Facebook page

Citations

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24 Mendeley
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Title
Adult cancer-related hemophagocytic lymphohistiocytosis – a challenging diagnosis: a case report
Published in
Journal of Medical Case Reports, June 2017
DOI 10.1186/s13256-017-1344-x
Pubmed ID
Authors

Michael A. Hust, Boris R. A. Blechacz, Diana L. Bonilla, Naval Daver, Cristhiam M. Rojas-Hernandez

Abstract

Adult hemophagocytic lymphohistiocytosis is a secondary immunopathologic phenomenon, mainly secondary to malignancy, infection, or autoimmune disorders. The performance of diagnostic criteria, studied in the pediatric population, is yet to be validated in the adult population. Some of the criteria include cytopenias and organomegaly that are inherent features to malignant processes, thus making the diagnosis of hemophagocytic lymphohistiocytosis a challenge in patients with cancer. We describe the case of a 54-year-old white man with history of metastatic maxillary sinus adenoid cystic carcinoma who had severe liver injury and cytopenias with progressive clinical deterioration. We performed an evaluation, by flow cytometry, of the expression of surface markers in his natural killer cells that revealed remarkable abnormalities. His syndrome eventually fulfilled criteria for hemophagocytic lymphohistiocytosis and he received therapy with steroids with interval clinical improvement. Unfortunately, he refused further cytotoxic treatment and died 2 weeks later. The conventional criteria for the diagnosis of hemophagocytic lymphohistiocytosis are suboptimal for adult patients with cancer resulting in delays in diagnosis and timely initiation of treatment. The diagnostic criteria have to be re-evaluated in patients with cancer; novel, easily available, and accurate diagnostic methods are needed.

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X Demographics

The data shown below were collected from the profiles of 2 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 24 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 24 100%

Demographic breakdown

Readers by professional status Count As %
Researcher 5 21%
Student > Master 4 17%
Student > Bachelor 3 13%
Student > Ph. D. Student 1 4%
Lecturer 1 4%
Other 2 8%
Unknown 8 33%
Readers by discipline Count As %
Medicine and Dentistry 8 33%
Biochemistry, Genetics and Molecular Biology 3 13%
Agricultural and Biological Sciences 2 8%
Neuroscience 1 4%
Unknown 10 42%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 17 July 2017.
All research outputs
#15,466,074
of 22,982,639 outputs
Outputs from Journal of Medical Case Reports
#1,516
of 3,941 outputs
Outputs of similar age
#198,813
of 315,729 outputs
Outputs of similar age from Journal of Medical Case Reports
#23
of 73 outputs
Altmetric has tracked 22,982,639 research outputs across all sources so far. This one is in the 22nd percentile – i.e., 22% of other outputs scored the same or lower than it.
So far Altmetric has tracked 3,941 research outputs from this source. They receive a mean Attention Score of 4.0. This one has gotten more attention than average, scoring higher than 51% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 315,729 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 28th percentile – i.e., 28% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 73 others from the same source and published within six weeks on either side of this one. This one has gotten more attention than average, scoring higher than 58% of its contemporaries.