Hydrops fetalis and early neonatal multiple organ failure in familial hemophagocytic lymphohistiocytosis
- Vermeulen, M.J.
- Haas, V. de
- Mulder, M.F.
- Flohil, C.C.
- Fetter, W.P.F.
- Kamp, J.M. van de
DOIAbstract
A (p.His222Gln) mutation in the PRF1 gene in both cases, with their non-consanguineous parents being heterozygous for the same mutation. Review of the literature shows that perinatal presentation of FHLH is rare. Diagnosis is difficult because in most cases histologic examination reveals no hemophagocytosis and the disease is rapidly fatal. The association between hydrops fetalis and FHLH has been reported in four previous reports. We present the first case of hydrops fetalis caused by FHLH, confirmed by DNA analysis. FHLH should be included in the differential diagnosis of non-immune hydrops fetalis and neonatal multiple organ failure. (C) 2009 Elsevier Masson SAS. All rights reserve
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