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Update in Hyperferritinemic Syndromes: Recognition and Management - A Scoping Review.
Athanasios Vassilopoulos1, Winston McCormick2, Alisha Lakhani3
1Division of Infectious Diseases, Department of Medicine Warren Alpert Medical School at Brown University; Co-first author.
Elevated serum ferritin indicates macrophage activation and signals higher mortality risk. This review covers hyperferritinemic syndromes like HLH and MAS, crucial for timely diagnosis and better patient outcomes.
Area of Science:
- Internal Medicine
- Immunology
- Critical Care Medicine
Background:
- Elevated serum ferritin is a key indicator of macrophage activation.
- Hyperferritinemic syndromes, including HLH, MAS, CAPS, septic shock, AOSD, and MIS-C/A, are linked to severe inflammation and increased mortality.
- These conditions necessitate prompt recognition and management.
Purpose of the Study:
- To conduct a scoping review of the literature.
- To identify and summarize the key features of various hyperferritinemic syndromes.
Main Methods:
- Scoping review of existing literature.
Main Results:
- The review synthesizes information on the defining characteristics of these rare, severe inflammatory disorders.
- Key features contributing to diagnosis and management are highlighted.
Conclusions:
- Hyperferritinemic syndromes represent a spectrum of critical conditions.
- Understanding their shared and distinct features is vital for improving patient outcomes through early intervention.
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