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Updated: Feb 28, 2026

Whole-cell MALDI-TOF Mass Spectrometry is an Accurate and Rapid Method to Analyze Different Modes of Macrophage Activation
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Macrophage Activation Syndrome.

P Babu Raj1, B L Harikrishnan2, Roshan Mampilly3

  • 1Professor and Unit Chief.

The Journal of the Association of Physicians of India
|June 10, 2017
PubMed
Summary
This summary is machine-generated.

Macrophage Activation Syndrome (MAS), a severe complication of rheumatic diseases, can present unusually. This case highlights MAS manifesting as fever and low blood counts without a clear cause.

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Area of Science:

  • Rheumatology
  • Hematology
  • Immunology

Background:

  • Macrophage Activation Syndrome (MAS) is a life-threatening complication associated with chronic rheumatic diseases.
  • It is particularly prevalent in systemic onset juvenile arthritis and adult onset Still's disease.
  • MAS can be triggered by various factors including infections, malignancies, and autoimmune conditions.

Observation:

  • This report details a case where MAS presented as pyrexia of unknown origin (PUO).
  • The patient also exhibited pancytopenia, a significant reduction in all blood cell types.
  • Crucially, no known triggering factor for MAS was identified in this instance.

Findings:

  • The study identifies an atypical presentation of Macrophage Activation Syndrome.
  • It emphasizes the diagnostic challenge posed by MAS when common triggers are absent.
  • The case underscores the importance of considering MAS in unexplained fever and pancytopenia.

Implications:

  • This case broadens the understanding of MAS presentations.
  • It suggests that MAS should be considered even in the absence of typical triggers.
  • Further research may elucidate rarer etiologies and diagnostic pathways for MAS.