Table 3.

Patients with a diagnosis of HLH-related disorders

PatientDiseaseAge/sexNK LU% NK% perforin
NKCD8CD56
P15  Chediak-Higashi syndrome  7 mo/M 0.0↓ 95   1  34  
P16  XLP 15 mo/M 1.5↓ <1↓ 99  32↑ 23  
P17  JRA + MAS 22 y/F 4.6 5↓ 82↓  2↓  7↓  
Normal values        
   0-1 y  3-17 91-97 0-3   4-30 
   1-15 y  4-22 81-91 2-11 12-34 
   >3.2     
  15-50 y  7-31 86-98 8-28 30-77 
PatientDiseaseAge/sexNK LU% NK% perforin
NKCD8CD56
P15  Chediak-Higashi syndrome  7 mo/M 0.0↓ 95   1  34  
P16  XLP 15 mo/M 1.5↓ <1↓ 99  32↑ 23  
P17  JRA + MAS 22 y/F 4.6 5↓ 82↓  2↓  7↓  
Normal values        
   0-1 y  3-17 91-97 0-3   4-30 
   1-15 y  4-22 81-91 2-11 12-34 
   >3.2     
  15-50 y  7-31 86-98 8-28 30-77 

A patient with Chediak-Higashi syndrome in accelerated phase showed values within the normal range for his age. A patient with XLP showed markedly increased perforin-expressing CD8+ T cells. A patient with JRA complicating MAS showed decreased proportions of perforin-expressing cells in all cytotoxic cell types.

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