title: [Two cases of malignant lymphoma with initial symptoms like orbital cellulitis and complicated by hemophagocytosis].
abstract: We reported 2 patients with malignant lymphoma complicated by hemophagocytic syndrome. Their clinical signs at onset were those of orbital cellulitis. Lymphoma complicated with hemophagocytosis is called lymphoma-associated hemophagocytosis syndrome (LAHS) and its prognosis is reported to be very poor. So far as we know, this is the first report in the ophthalmological field. In our patients, we suspected that the lesions occurred from the orbit or skin of this area. The first patient was a 22-year-old man and the second patient a 16-year-old girl. The diagnosis was very difficult at the onset of disease. Within 6 months after the first opthalmological examination, both died. When orbital cellulitis is suspected and antibiotic therapy is ineffective, we should suspect hemophagocytic syndrome (HPS) and should examine serum ferritin which is a good markers of HPS. Early biopsy and consultation with a hematologist are very important.
authors.affiliation: Department of Opthalmology, Akita University School of Medicine, Japan.
authors.forename: A
authors.initials: A
authors.lastname: Nakajima
authors.forename: T
authors.initials: T
authors.lastname: Abe
authors.forename: T
authors.initials: T
authors.lastname: Takagi
authors.forename: N
authors.initials: N
authors.lastname: Sato
authors.forename: S
authors.initials: S
authors.lastname: Sakuragi
authors.forename: I
authors.initials: I
authors.lastname: Miura
authors.forename: H
authors.initials: H
authors.lastname: Wakui
authors.forename: A
authors.initials: A
authors.lastname: Oshima
authors.forename: T
authors.initials: T
authors.lastname: Horiuchi
authors.forename: S
authors.initials: S
authors.lastname: Ono
authors.forename: A B
authors.initials: AB
authors.lastname: Miura
mesh_terms: D000293:Adolescent; D000328:Adult; D015415:Biomarkers / Q000097:blood; D002481:Cellulitis / Q000209:etiology*; D017809:Fatal Outcome; D005260:Female; D005293:Ferritins / Q000097:blood; D015616:Histiocytosis, Non-Langerhans-Cell / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D008223:Lymphoma / Q000150:complications*; D008297:Male; D009916:Orbital Diseases / Q000209:etiology*
chemical_list: D015415:Biomarkers; D005293:Ferritins