HLH I Hemophagocytic Lymphohistiocytosis - cause, pathophysiology, investigation and treatment

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  • เผยแพร่เมื่อ 20 พ.ย. 2024

ความคิดเห็น • 112

  • @shelleycharlesworth5177
    @shelleycharlesworth5177 10 หลายเดือนก่อน +4

    My husband was 74 9+ years ago when he died from HLH. He had been healthy all his life. He got a cold & cough Jan 21 2014. Cold and cough went away in 8 days but he did not regain energy or appetite. I took him to urgent care Feb 4 . Xray showed lungs clear but blood work was off so he was hospitalized and bone marrow biopsy showed Lymphoma AND HLH. That was feb 14. Chemo was begun. He took 4 treatments and developed a lung infection. He died March 27th 2014 after suffering terribly. My world collapsed and will never be the same. We were married 39 years when he died. I had never heard of HLH and doctors told me they see 1 case a year in that hospital and it's mostly in children under age 3.
    Mostly my husband had good care during his 39 day hospital stay. We were both shocked and terrified. He had been so healthy and we had never heard of this HLH. I will never be the same. He was my rock and I miss him more than ever- 9+ years of being without him sucks.

  • @akelada
    @akelada 3 ปีที่แล้ว +9

    I just wanted to thank you for providing this content for many years! I have been watching your videos since I was in medical school and throughout residency. I continue to watch them to refresh my understanding. Thank you!

  • @veemon9280
    @veemon9280 3 ปีที่แล้ว +10

    Your ability to break down even the most rare diseases has improved greatly over the years.
    Now I have a better understanding of one of THE FLASH's villains.

  • @shyamprasad9787
    @shyamprasad9787 10 หลายเดือนก่อน +2

    My mother is in ventilator because of this HLH diesease and she had chickenpox in 4 days it become more critical and now she is fighting for her life

  • @azzizajane1230
    @azzizajane1230 3 ปีที่แล้ว +5

    It’s not uncommon for NK function to be zero. Also, EBV and other viruses can also trigger primary HLH. MAS is very similar but lacks the clear diagnostic criteria that HLH has. When my daughter first had HLH in 2005, we were told there was a 100% death rate within 8 weeks of symptom-onset. When she started to relapse in 2017, it hadn’t reached full diagnostic criteria so she had more treatment options.

  • @Thepersianpopinjay
    @Thepersianpopinjay 2 ปีที่แล้ว +2

    I remember hearing the horrifying case of a family who brought their 2 month old baby in to the ER for excessive vomiting after being minorly ill for a few days, everyone expected it to only be a 48hr stay getting started on some antibiotics and some rehydration, but after sudden unexplained rapid organ failure, an HLH dx was made with the infant passing only hours later. What appeared to be a minor infection became lethal in less than 4 days.

  • @darinmohammed5119
    @darinmohammed5119 10 หลายเดือนก่อน +1

    Very useful explanation thank you so much

  • @erinezoller
    @erinezoller ปีที่แล้ว +1

    A few important immune players to mention. First, that dendritic cells in the tissues and secondary lymphoid organs are also contributing to over activation.
    Second, while the macs and DCs are pumping out cytokines because they can’t be killed, the CTLs and NK cells (that can’t kill) are continually being stimulated by the macs and DC’s. The Interferon gamma from these over activated NK and CTLs are a HUGE part of the cytokine storm and that IFN gamma is specifically what causes the macs to start eating the blood cells.
    So while tissue damage by cytokines certainly contributes to organ failure, severe anemia in a matter of days or weeks due to macs eating all the blood cells can drive organ failure as well.

  • @ok-kb7yz
    @ok-kb7yz 3 ปีที่แล้ว +2

    I used to like the way when u used to call your name as a intro. But now u directly start with the lecture. 🥺

    • @armandohasudungan
      @armandohasudungan  3 ปีที่แล้ว +4

      hey thank you haha I thought people liked to go straight into the content ;)

    • @CrankyPantss
      @CrankyPantss 3 ปีที่แล้ว +1

      @@armandohasudungan Both ways work.

    • @questlove7377
      @questlove7377 3 ปีที่แล้ว

      @@armandohasudungan There is a calming effect and enjoyability to hear something that is consistent across all the videos. And yes that does lead to more likability/getting-addicted-to

  • @stevekay5486
    @stevekay5486 2 ปีที่แล้ว +3

    My son died of this in april 2021 aged 28. He had had an ear infection for 2 weeks before he was admitted to hospital. He died 3 weeks later. What a horrible disease it is. He never had an ailment in his life up to this.

    • @Lilyequestrain
      @Lilyequestrain 2 ปีที่แล้ว

      I am sorry for your loss.
      If you don’t mind can I ask the symptoms your son experienced? My dad is being tested for it, he has had lymphoma treatment chemo and is bed ridden with extreme fatigue and confusion/memory loss.

    • @stevekay5486
      @stevekay5486 2 ปีที่แล้ว

      @@Lilyequestrain He had enlarged liver, enlarged spleen, heart problem, they said his brain was being affected too. He had very low blood counts and fluid on his lungs It killed his liver which he needed to fight infection

    • @Lilyequestrain
      @Lilyequestrain 2 ปีที่แล้ว +1

      @@stevekay5486 thank you for taking the time to reply.

    • @Ifyouknowyouknoq
      @Ifyouknowyouknoq ปีที่แล้ว +1

      The exact same thing happened to my best friend this month his condition became critical within a week he died a few days later what a horrible disease

    • @stevekay5486
      @stevekay5486 ปีที่แล้ว

      @@Ifyouknowyouknoq You are right, a bloody horrible disease. I wouldn't wish it on anyone

  • @KoreTM
    @KoreTM 3 ปีที่แล้ว +1

    You explained very beautifully, that i was able to understand without any further details.So much thanks for your great work.

  • @kitterzy
    @kitterzy 3 ปีที่แล้ว

    This made much more sense to me than it ever did when I was in college for med tech.

  • @hammerradiology1470
    @hammerradiology1470 3 ปีที่แล้ว +1

    Mix Knowledge, Hard work, Patience and you get your Videos :) I am in awe of your persistence and ambition. Thank you for sharing your knowledge and setting an example.

  • @poolejon100
    @poolejon100 ปีที่แล้ว +3

    A friend in his 50s died of HLH a few months ago -the diagnosis was too late.
    I have concerns around the mRNA vaccines and whether these may trigger HLH in some folk?
    If so, this could be a very serious (if rare) reaction.
    I’d appreciate your thoughts…

    • @toolcartel4213
      @toolcartel4213 ปีที่แล้ว

      My sister recently passed away from primary HLH. I strongly believe it had something to do with COVID or the COVID vaccine. She was a healthy 42 year old, all started with a fever. I believe something activated the disease. We are heart broken, she had so much fight till the end 😢. She lived about 6 months after being diagnosed. In San Diego it was a rare case and it was hard to treat with so little information on treatment our goal was to get her healthy enough to receive bone marrow transplant, but unfortunately strokes, possibly from their medications made it difficult.

    • @jerrimenard3092
      @jerrimenard3092 ปีที่แล้ว

      No live virus is used in mRNA vaccines. Perhaps COVID infection could have done it, but not the vaccine.

  • @samirsahu2490
    @samirsahu2490 11 หลายเดือนก่อน

    Excellent explanation

  • @Dan-dw3fm
    @Dan-dw3fm ปีที่แล้ว

    so so so much helpful!!! Thank you very much for this content!

  • @kathryndevries972
    @kathryndevries972 ปีที่แล้ว

    Hello I am not a Doctor. This was very clear Thankyou. I had a family member diagnosed with CMV with traces of HLH. What does that mean? Age 65 and had allergic reaction to a shot for Neuropathy.
    Can anyone explain this. Much appreciated.

  • @drvsvr
    @drvsvr 3 ปีที่แล้ว

    Saya pikir kamu orang Indonesia (karena Hasudungan itu nama Batak). Ternyata orang Australia. You did great works!

  • @chloenichollea.lincopines3215
    @chloenichollea.lincopines3215 2 ปีที่แล้ว

    Hi, I'm a Nursing student, our Midterm exams are about these Case Studies and I picked a case study about a Patient having a Hectic fever, and I didn't understand what Hemophagocytic Lymphohistiocytosis
    Now I can understand more what it is and why it caused such a Hectic fever on the patient. Thank you so much! ♥️

  • @mohonhlanghu3465
    @mohonhlanghu3465 2 ปีที่แล้ว

    So much studies being done and couldn't come up with whats the primary cause and its cure

  • @sayaneha08
    @sayaneha08 ปีที่แล้ว

    What is the treatment. Chances to live.

  • @le_med
    @le_med 3 ปีที่แล้ว +10

    This would be a great title for a band.

  • @praneet8502
    @praneet8502 3 ปีที่แล้ว +1

    If u don't mind can you answer me that Which app you use to make videos armando?i mean in which software you are writing like this

  • @_abhishek_here
    @_abhishek_here 3 ปีที่แล้ว

    Please provide pdf of your lectures🙏🏻

  • @CrankyPantss
    @CrankyPantss 3 ปีที่แล้ว

    Beautifully explained and diagrammed.

  • @emmanuellumonga5165
    @emmanuellumonga5165 ปีที่แล้ว

    This is excellent 👍 insight

  • @Romeo14146
    @Romeo14146 3 ปีที่แล้ว

    Sir plz make a video with adrenergic and cholinergic pharmacology

  • @MauriceLeviejr
    @MauriceLeviejr 3 ปีที่แล้ว

    Could you make a follow-up on treatments?

  • @serge9259
    @serge9259 7 หลายเดือนก่อน

    You are GREAT

  • @greysileydiadrianosalazar8944
    @greysileydiadrianosalazar8944 3 ปีที่แล้ว

    muy buenos videos y mas con los dibujos. ( very good videos and more with the drawings)

  • @lanoharu4286
    @lanoharu4286 3 ปีที่แล้ว

    Thanks for your hard work I love your channel and I have a request can you make a lecture about toxoplasmosis please

  • @sudeshnadasgupta119
    @sudeshnadasgupta119 2 ปีที่แล้ว

    Can it occur suddenly after any nominal infection??

  • @miguel1353
    @miguel1353 3 ปีที่แล้ว

    you draw every good

  • @Pankard95
    @Pankard95 9 หลายเดือนก่อน

    Thanks a lot 🙏

  • @m_m786
    @m_m786 3 ปีที่แล้ว +1

    Nice 👍

  • @appreendixdecostrix9209
    @appreendixdecostrix9209 3 ปีที่แล้ว

    ✌ Ok, I left thumbs up! 👍 Nice video. 🎥 thx

  • @jayakaviyah
    @jayakaviyah 3 ปีที่แล้ว

    Superb 👍

  • @EchocardiographyHeart
    @EchocardiographyHeart 3 ปีที่แล้ว

    Plz upload topic related to microbiology, pathology & bio chemistry plzzzzz

  • @docash6286
    @docash6286 3 ปีที่แล้ว

    Thankss

  • @millipedemiranda1339
    @millipedemiranda1339 3 ปีที่แล้ว +3

    You should have more subs

    • @hammerradiology1470
      @hammerradiology1470 3 ปีที่แล้ว

      I think so too! I really appreciate people sharing their knowledge...

  • @csbrprasad
    @csbrprasad 3 ปีที่แล้ว

    Excellent

  • @greysileydiadrianosalazar8944
    @greysileydiadrianosalazar8944 3 ปีที่แล้ว

    Hello . Please, the videos must be subtitled in Spanish, I'm from Peru

  • @neilbutters1911
    @neilbutters1911 3 ปีที่แล้ว

    Lost my dad to this last week

  • @farheensayyad4021
    @farheensayyad4021 3 ปีที่แล้ว

    Please upload a video on pseudosaccharides

  • @lydiahelmick8092
    @lydiahelmick8092 3 ปีที่แล้ว +1

    A recent death of fully vaccinated sixty year old woman of this very thing brought me to your channel.

  • @andrinnabrown8375
    @andrinnabrown8375 3 ปีที่แล้ว

    Can you please do one for ADENOMYOSIS, I've just been diagnosed. Thank you in advance x

  • @cargumdeu
    @cargumdeu 3 ปีที่แล้ว +1

    pretty much described the effects of covid there...would zinc, calcefiodol, prevent cytokine storm?

  • @heenasaifi8506
    @heenasaifi8506 3 ปีที่แล้ว

    Plzz explain about syphilis it's treatment and control, all about syphilis plz plz itz a request

  • @heenasaifi8506
    @heenasaifi8506 3 ปีที่แล้ว

    Plzz make a video on syphilis

  • @panda-pk7zi
    @panda-pk7zi 3 ปีที่แล้ว

    Sir can you please upload a video on skeletal muscle relaxants. Please🙏

  • @bolimeradinesh2638
    @bolimeradinesh2638 3 ปีที่แล้ว

    Sir ur videos are so usefull for my study 😍 tqs a lot for dat 😍 plzzz do a clip on blood transfusion ...plz🙏🏼 a student request from india 🖤

  • @MadhubhartiGBava
    @MadhubhartiGBava 3 ปีที่แล้ว +1

    Thanks lot Sir, would you like to make on fate map.🙄

  • @ksajsmuszkksd9126
    @ksajsmuszkksd9126 3 ปีที่แล้ว

    Ty

  • @BeenaBasraFoodSecrets
    @BeenaBasraFoodSecrets 3 ปีที่แล้ว

    Nice.

  • @RobertAlmond-x9z
    @RobertAlmond-x9z หลายเดือนก่อน

    Beryl Springs

  • @sairam8140
    @sairam8140 3 ปีที่แล้ว

    Hii bro i need physiology of digestive system

  • @vaishnavikarkada6954
    @vaishnavikarkada6954 3 ปีที่แล้ว

    video request on antivirals pleeeeease :) You're the best

  • @misterB2231
    @misterB2231 3 ปีที่แล้ว

    The causes need to get enlightening, you did't talk about lymphoma lupus and still's disease.

  • @NatsdfashaNice
    @NatsdfashaNice หลายเดือนก่อน

    Aric Burg

  • @kanikathakur3835
    @kanikathakur3835 3 ปีที่แล้ว

    sir pls upload a video on the topic implantation in human reproduction

  • @CoreneFricke-n9q
    @CoreneFricke-n9q หลายเดือนก่อน

    Elyse Manor

  • @muhammadmohsin8584
    @muhammadmohsin8584 2 ปีที่แล้ว

    I lost my brother on 26th January 2022 due to HLH, who was only 25 years old and was so handsome 😥😥

    • @stevekay5486
      @stevekay5486 2 ปีที่แล้ว +1

      my son too april last year, my condolences to you.

    • @muhammadmohsin8584
      @muhammadmohsin8584 2 ปีที่แล้ว

      @@stevekay5486 how old was he

    • @muhammadmohsin8584
      @muhammadmohsin8584 2 ปีที่แล้ว

      @@stevekay5486 My condolences to you too

    • @stevekay5486
      @stevekay5486 2 ปีที่แล้ว +1

      @@muhammadmohsin8584 he was 28

    • @muhammadmohsin8584
      @muhammadmohsin8584 2 ปีที่แล้ว

      @@stevekay5486 I'm so sorry, he was too young, any idea how he got caught to HLH

  • @nightstarking
    @nightstarking ปีที่แล้ว

    Can the covid shot increase your risk for this type of cancer

  • @ajamshah8917
    @ajamshah8917 2 หลายเดือนก่อน

    My wife die ..because oh this desease..what a killer😢

  • @proffezur
    @proffezur 3 ปีที่แล้ว +1

    Yeah... Just name it after someone and call it a day. That's way too much of a mouthful 😅

  • @EnglishMadeEasyWithSri
    @EnglishMadeEasyWithSri 2 ปีที่แล้ว

    My sister's husband collapsed due to this hlh...Is there a chance that it spreads to her???? someone please reply...we are so affected by his death...

    • @erinezoller
      @erinezoller ปีที่แล้ว

      It is not contagious.

  • @مكهالمكرمه-ث5ش
    @مكهالمكرمه-ث5ش ปีที่แล้ว

    المبلغ اللي ابي معي

  • @ReedElizabeth-i6g
    @ReedElizabeth-i6g หลายเดือนก่อน

    9785 Reilly Port

  • @jph1503
    @jph1503 3 ปีที่แล้ว

  • @amirhosseinsharifi19
    @amirhosseinsharifi19 3 ปีที่แล้ว

    👌👌👌👌

  • @icareaboutallthelanguageso3966
    @icareaboutallthelanguageso3966 3 ปีที่แล้ว

    Good intention is happiness and it is a solution to every problem
    I will stick to the good intention, even if it is the cause of my death, but my beloved is God knows more than me that good intention is happiness and it is a solution to every problem. If the person with good intention is sure that God will help him, God will help him. Here are human demons and jinn demons either admit their mistakes or deny The truth is that their fate will be hellfire, and their fate will be miserable
    The characteristics of human demons and jinn demons are arrogance, selfishness, sarcasm, bullying, and other bad qualities that harm society.
    I love the fire of hell because it will torment everyone who does not respect God's tests
    I love telling the truth about all the endless sciences, which is deliverance from God’s torment
    My profession is to do good for nothing in return for sacrifice, not for interests
    When will those who do good deeds for free by sacrificing hold high positions so that reality becomes more beautiful and in the utmost justice and equality between the strong and the weak???

  • @مكهالمكرمه-ث5ش
    @مكهالمكرمه-ث5ش ปีที่แล้ว

    ابي سفه .٥٠.ريال.بسام

  • @مكهالمكرمه-ث5ش
    @مكهالمكرمه-ث5ش ปีที่แล้ว

    ه

  • @مكهالمكرمه-ث5ش
    @مكهالمكرمه-ث5ش ปีที่แล้ว

    ١٠٠٠٠٠٠

  • @مكهالمكرمه-ث5ش
    @مكهالمكرمه-ث5ش ปีที่แล้ว

    ١٠٠٠٠٠٠٠٠٠

  • @مكهالمكرمه-ث5ش
    @مكهالمكرمه-ث5ش ปีที่แล้ว

    dit.cm.١٠٠٠٠٠

  • @مكهالمكرمه-ث5ش
    @مكهالمكرمه-ث5ش ปีที่แล้ว

    diiit.cm.١.٠٠٠.٠٠٠.٠٠

  • @مكهالمكرمه-ث5ش
    @مكهالمكرمه-ث5ش ปีที่แล้ว

    ه

  • @مكهالمكرمه-ث5ش
    @مكهالمكرمه-ث5ش ปีที่แล้ว

    ه

  • @مكهالمكرمه-ث5ش
    @مكهالمكرمه-ث5ش ปีที่แล้ว

    ه

  • @مكهالمكرمه-ث5ش
    @مكهالمكرمه-ث5ش ปีที่แล้ว

    ه

  • @مكهالمكرمه-ث5ش
    @مكهالمكرمه-ث5ش ปีที่แล้ว

    ه

  • @مكهالمكرمه-ث5ش
    @مكهالمكرمه-ث5ش ปีที่แล้ว

    ه

  • @مكهالمكرمه-ث5ش
    @مكهالمكرمه-ث5ش ปีที่แล้ว

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