Table 3.

Parameters and points in the HScore

ParameterNo. of points (criteria for scoring)
Known underlying immunosuppression* 0 (no) or 18 (yes) 
Temperature (°C) 0 (<38.4), 33 (38.4–39.4), or 49 (>39.4) 
Organomegaly 0 (no), 23 (hepatomegaly or splenomegaly), or 38 (hepatomegaly and splenomegaly) 
No. of cytopenias 0 (1 lineage), 24 (2 lineages), or 34 (3 lineages) 
Ferritin (μg/L) 0 (<2000), 35 (2000-6000), or 50 (>6000) 
Triglyceride (mmol/L) 0 (<1.5), 44 (1.5-4), or 64 (>4) 
Fibrinogen (g/L) 0 (>2.5) or 30 (≤2.5) 
Aspartate aminotransferase (U/L) 0 (<30) or 19 (≥30) 
Hemophagocytosis on bone marrow aspirate 0 (no) or 35 (yes) 
ParameterNo. of points (criteria for scoring)
Known underlying immunosuppression* 0 (no) or 18 (yes) 
Temperature (°C) 0 (<38.4), 33 (38.4–39.4), or 49 (>39.4) 
Organomegaly 0 (no), 23 (hepatomegaly or splenomegaly), or 38 (hepatomegaly and splenomegaly) 
No. of cytopenias 0 (1 lineage), 24 (2 lineages), or 34 (3 lineages) 
Ferritin (μg/L) 0 (<2000), 35 (2000-6000), or 50 (>6000) 
Triglyceride (mmol/L) 0 (<1.5), 44 (1.5-4), or 64 (>4) 
Fibrinogen (g/L) 0 (>2.5) or 30 (≤2.5) 
Aspartate aminotransferase (U/L) 0 (<30) or 19 (≥30) 
Hemophagocytosis on bone marrow aspirate 0 (no) or 35 (yes) 
*

HIV positive or receiving long-term immunosuppressive therapy (ie, glucocorticoids, cyclosporine A, azathioprine).

Defined as a hemoglobin level of 9.2 g/L and/or a leukocyte count ≤5 × 109/L and/or a platelet count ≤110 × 109/L.

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