Variations in Macrophage Activation Syndromeassociated Cardiac Diseases: A Report on Two Cases

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Lin Na; Xu Li Ping; Dai Qiao Ding

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Journal Paper

Paper Information

Journal: Iranian Journal of Immunology Year:2023 | Volume:20 | Issue:1 Page(s): 135-143

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Title

Variations in Macrophage Activation Syndromeassociated Cardiac Diseases: A Report on Two Cases

Author(s)

Lin Na | Xu Li Ping | Dai Qiao Ding | Issue Writer Certificate

Keywords

Cardiovascular diseases

Case report

Hemophagocytic lymphohistiocytosis

Macrophage activation syndrome

Abstract

Macrophage activation syndrome (MAS), a secondary Hemophagocytic lymphohistiocytosis characterized by an excessive systemic inflammatory response, is a life-threatening and rare disease. Cardiovascular damage is a common and severe complication of the disease, however, it is easily ignored and not well studied. Herein, we report two cases of patients with MASassociated heart damage and review the clinical characteristics, mechanism, and treatment. Case 1 along with systemic lupus erythematosus and Kikuchi necrotizing lymphadenitis occurred in fatal acute heart failure, and case 2 complicated adult-onset Still’, s Disease began with atrial fibrillation and had some improvement with the treatment of high dose corticosteroids. MAS-associated heart damage is a critical issue in clinical settings, and the etiology and mechanisms of MAS-associated Cardiovascular diseases are likely multifactorial. The manifestations were various and high levels of the cytokines and cardiac damage may contribute to poor prognosis. Therefore, early intensive immunosuppressive therapy probably improves the treatment outcome.

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APA: Copy

Lin, Na, Xu, Li Ping, & Dai, Qiao Ding. (2023). Variations in Macrophage Activation Syndromeassociated Cardiac Diseases: A Report on Two Cases. IRANIAN JOURNAL OF IMMUNOLOGY (IJI), 20(1), 135-143. SID. https://sid.ir/paper/1145448/en

Vancouver: Copy

Lin Na, Xu Li Ping, Dai Qiao Ding. Variations in Macrophage Activation Syndromeassociated Cardiac Diseases: A Report on Two Cases. IRANIAN JOURNAL OF IMMUNOLOGY (IJI)[Internet]. 2023;20(1):135-143. Available from: https://sid.ir/paper/1145448/en

IEEE: Copy

Na Lin, Li Ping Xu, and Qiao Ding Dai, “Variations in Macrophage Activation Syndromeassociated Cardiac Diseases: A Report on Two Cases,” IRANIAN JOURNAL OF IMMUNOLOGY (IJI), vol. 20, no. 1, pp. 135–143, 2023, [Online]. Available: https://sid.ir/paper/1145448/en

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