Open AccessHigh serum ferritin alone as a predictor of mortality and hemophagocytic lymphohistiocytosis
Author(s) -
Kohli Shruti,
Chadha Ritu,
Rastogi Neha,
Yadav Satya Prakash
Publication year - 2021
Publication title -
ejhaem
Language(s) - English
Resource type - Journals
ISSN - 2688-6146
DOI - 10.1002/jha2.153
Subject(s) - hemophagocytic lymphohistiocytosis , ferritin , serum ferritin , medicine , gastroenterology , immune system , immunology , disease
We report here utility of high serum ferritin alone as a predictor of mortality and diagnosis of hemophagocytic lymphohistiocytosis (HLH). We compared mortality in patients with high serum ferritin >5000 ng/mL versus <5000 ng/mL and looked for presence of HLH. Mortality was significantly higher ( P ‐value .0048) in patients with serum ferritin levels >5000 ug/dL. Of 21 patients with high serum ferritin, a median of three criteria were fulfilled to diagnose HLH. All patients had features of immune‐activation, and 76.2% patients had features of immune‐pathology favoring diagnosis of HLH. Serum ferritin can aid in prediction of mortality and help in the early diagnosis of HLH.