Table 1.

Classification and underlying conditions of hemophagocytic lymphohistiocytosis (HLH).

* Familial HLH was first described by Farquhar and Claireaux in 1952 
Genetic HLH 
    Familial HLH (Farquhar disease*) 
        Known gene defects (perforin, munc 13-4, syntaxin 11) 
        Unknown gene defects 
    Immune deficiency syndromes 
        Chédiak-Higashi syndrome (CHS) 
        Griscelli syndrome (GS) 
        X-linked lymphoproliferative syndrome (XLP) 
Acquired HLH 
    Exogenous agents (infectious organisms, toxins) 
        Infection-associated hemophagocytic syndrome (IAHS) 
    Endogenous products (tissue damage, metabolic products) 
    Rheumatic diseases 
        Macrophage activation syndrome (MAS) 
    Malignant diseases 
* Familial HLH was first described by Farquhar and Claireaux in 1952 
Genetic HLH 
    Familial HLH (Farquhar disease*) 
        Known gene defects (perforin, munc 13-4, syntaxin 11) 
        Unknown gene defects 
    Immune deficiency syndromes 
        Chédiak-Higashi syndrome (CHS) 
        Griscelli syndrome (GS) 
        X-linked lymphoproliferative syndrome (XLP) 
Acquired HLH 
    Exogenous agents (infectious organisms, toxins) 
        Infection-associated hemophagocytic syndrome (IAHS) 
    Endogenous products (tissue damage, metabolic products) 
    Rheumatic diseases 
        Macrophage activation syndrome (MAS) 
    Malignant diseases 
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