É uma complicação de doenças reumáticas causada pela ativação excessiva e multiplicação descontrolada de linfócitos T e macrófagos maduros, que são tipos de células de defesa do corpo. É caracterizada por febre, diminuição de todos os tipos de células sanguíneas (pancitopenia), mau funcionamento grave do fígado (insuficiência hepática), problemas na coagulação do sangue e sintomas que afetam o sistema nervoso.
Introdução
O que você precisa saber de cara
É uma complicação de doenças reumáticas causada pela ativação excessiva e multiplicação descontrolada de linfócitos T e macrófagos maduros, que são tipos de células de defesa do corpo. É caracterizada por febre, diminuição de todos os tipos de células sanguíneas (pancitopenia), mau funcionamento grave do fígado (insuficiência hepática), problemas na coagulação do sangue e sintomas que afetam o sistema nervoso.
Escala de raridade
<1/50kMuito rara
1/20kRara
1/10kPouco freq.
1/5kIncomum
1/2k
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Sinais e sintomas
O que aparece no corpo e com que frequência cada sintoma acontece
Partes do corpo afetadas
+ 19 sintomas em outras categorias
Características mais comuns
Os sintomas variam de pessoa para pessoa. Abaixo estão as 29 características clínicas mais associadas, ordenadas por frequência.
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Os sinais que médicos procuram e os exames que confirmam
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Publicações mais relevantes
Mostrando amostra de 200 publicações de um total de 1.590
[Clinical Manifestations of Childhood Systemic Lupus Erythematosus-associated Acute Pancreatitis and Evaluation of the Efficacy of Plasma Exchange Combined With Glucocorticoids].
To summarize and analyze the clinical manifestations of acute pancreatitis associated with childhood systemic lupus erythematosus (cSLE) and to evaluate the therapeutic efficacy of plasma exchange combined with glucocorticoids. This retrospective study analyzed clinical data from cSLE patients diagnosed and treated at West China Second University Hospital from January 2018 to December 2020. Patients were divided into a pancreatitis group (diagnosed with cSLE-associated acute pancreatitis) and a non-pancreatitis group (without this diagnosis), and differences between groups were compared. Among 170 cSLE patients enrolled, 9 were in the pancreatitis group and 161 were in the non-pancreatitis group. The median SLEDAI score was 24.0 (P25-P75: 20.5-29.0) in the pancreatitis group and 18.0 (P25-P75: 14.0-20.0) in the non-pancreatitis group, with a statistically significant difference (P < 0.05). The incidence rates of abdominal pain, vomiting, abdominal distension, diarrhea, acute pericarditis, and macrophage activation syndrome were higher in the pancreatitis group than in the non-pancreatitis group, with statistically significant differences (P < 0.05). Differences in C-reactive protein, hemoglobin, blood urea nitrogen, serum albumin, serum amylase, serum lipase, and lipid levels between the two groups were also statistically significant (P < 0.05). Multivariate logistic regression analysis indicated that each 1-point increase in SLEDAI score was associated with a 37.5% higher risk of developing pancreatitis (OR 1.375, 95% CI 1.121-1.686, P =0.002). All children in the pancreatitis group received high-dose glucocorticoids combined with multiple plasma exchanges, followed by immunosuppressive therapy. Nine patients achieved remission from acute pancreatitis within two weeks of treatment. Two patients died within 30 days, but the cause of death was unrelated to acute pancreatitis. Acute pancreatitis is a rare but severe complication of cSLE, with higher SLEDAI scores correlating with increased risk of pancreatitis. Early diagnosis and aggressive treatment with glucocorticoids combined with plasma exchange may be associated with improved short-term outcomes. 总结分析儿童系统性红斑狼疮(childhood systemic lupus erythematosus, cSLE)相关急性胰腺炎的临床表现特征,并评估血浆置换联合糖皮质激素对其的治疗效果。 回顾性分析2018年1月至2020年12月在华西第二医院诊断并治疗的cSLE患者的临床资料,根据其是否诊断为cSLE相关急性胰腺炎分为胰腺炎组和非胰腺炎组,并比较两组间的差异。 在收治的170例cSLE患者中,胰腺炎组9例,非胰腺炎组161例。胰腺炎组SLEDAI 评分中位数为24.00(P25~P75: 20.50~29.00),非胰腺炎组为 18.00(P25~P75: 14.00~20.00),两组之间差异有统计学意义(P<0.05)。胰腺炎组腹痛、呕吐、腹胀、腹泻、急性心包炎和巨噬细胞活化综合征的发生比例高于非胰腺炎组,差异有统计学意义(P<0.05)。两组间C反应蛋白、血红蛋白、尿素氮、血清白蛋白、血淀粉酶、血脂肪酶、血脂水平的差异具有统计学意义(P<0.05)。多因素logistic回归分析表明SLEDAI评分每增加1分,患胰腺炎的风险增加37.5%(OR 1.375, 95%CI 1.121~1.686, P=0.002)。胰腺炎组患儿均接受大剂量糖皮质激素联合多次血浆置换治疗,后续使用免疫抑制剂。9例患者在治疗两周后实现急性胰腺炎的缓解,有2例患者在30 d内死亡,但死亡原因与急性胰腺炎无关。 急性胰腺炎是cSLE罕见但严重的并发症,SLEDAI评分越高,患胰腺炎的风险越大。早期诊断及积极应用糖皮质激素联合血浆置换治疗可能与更好的短期预后相关。
Refractory macrophage activation syndrome in adult-onset Still's disease: response to interferon-γ blockade and JAK inhibition.
A female patient in her mid-20s presented with fevers, rash and polyarthralgia and was ultimately diagnosed with macrophage activation syndrome (MAS), a widely recognised form of secondary haemophagocytic lymphohistiocytosis in the setting of autoinflammatory disease such as adult-onset Still's disease. Extensive infectious and malignancy workup was negative. Her clinical course was complicated by persistently active disease despite initial immunomodulator therapies, including corticosteroids and anti-interleukin-1 therapy (anakinra). Further escalation of therapy with tocilizumab and etoposide yielded insufficient, partial improvement. Given the refractory nature of her condition, we initiated treatment with emapalumab, an anti-interferon-γ antibody, which led to significant symptom control. We subsequently added Janus kinase inhibitor (JAK), ruxolitinib, and continued anakinra until complete resolution of symptoms and normalisation of laboratory values. The patient was then discharged on a stable dose of ruxolitinib, anakinra and prednisone. This case illustrates the therapeutic challenges in managing refractory MAS and highlights the emerging role of targeted therapies such as emapalumab and JAK inhibitors in treatment-refractory cases.
Precision Immunotherapy to Improve Sepsis Outcomes: The ImmunoSep Randomized Clinical Trial.
Sepsis is heterogeneous, and the optimal strategy for tailoring immunotherapy is uncertain. To investigate whether precision immunotherapy guided by the presence of macrophage activation-like syndrome or sepsis-induced immunoparalysis improves organ dysfunction by day 9. A randomized, double-blind, double-dummy, placebo-controlled clinical trial conducted in 6 countries. Patients with sepsis, defined by Sepsis-3, were included if they had community-acquired or hospital-acquired pneumonia or ventilator-associated pneumonia or bacteremia and sepsis and had displayed either macrophage activation-like syndrome (blood ferritin >4420 ng/mL) or sepsis-induced immunoparalysis (blood ferritin ≤4420 ng/mL and <5000 human leukocyte antigen DR receptors on CD45/CD14 monocytes). The first patient was enrolled August 5, 2021, and the last follow-up, April 29, 2024. Eligible patients were randomized to receive standard care and precision immunotherapy or standard care and placebo. Those in the precision immunotherapy group with macrophage activation-like syndrome received anakinra intravenously (IV) and placebo subcutaneously, and those with sepsis-induced immunoparalysis received subcutaneous recombinant human interferon gamma and IV placebo. Those in the placebo group received both IV and subcutaneous placebo. Treatment was administered for up to 15 days. The primary end point was a decrease of at least 1.4 points in the mean Sequential Organ Failure Assessment (SOFA) score from baseline by day 9. The SOFA score evaluates 6 organ systems, ranging from 0, no dysfunction, to 4, failure, and the total score ranges from 0, normal, to 24, most severe form of multiorgan failure. Key secondary outcomes included 28-day mortality. Of 672 patients assessed for eligibility, 281 were randomized and 276 were included in the primary analysis population (mean [SD] age, 70 [13] years; 93 females [33.7%]; median baseline SOFA score, 9 [IQR, 7-11]). The SOFA decrease end point was attained by 46 of 131 patients (35.1%) in the precision immunotherapy group and by 26 of 145 patients (17.9%) in the placebo group (difference, 17.2% [95% CI, 6.8% to 27.2%]; P = .002). Mortality at 28 days was not statistically significantly different between groups. A total of 1069 serious treatment-emergent adverse events (88.8%) were reported; increased incidence of anemia was noted in the anakinra group; and hemorrhage in the recombinant human interferon gamma group. Among patients with sepsis, precision immunotherapy targeting macrophage activation-like syndrome and sepsis-induced immunoparalysis improved organ dysfunction by day 9 compared with placebo. ClinicalTrials.gov Identifier: NCT04990232.
Retrospective study: clinical analysis of Kawasaki disease complicated with macrophage activation syndrome.
Is a variant of uncertain significance always 'insignificant'? A systematic review on PRF1 A91V in Hemophagocytic Lymphohistocytosis and comparative analysis with Still's disease.
Publicações recentes
[Management of emergencies in rheumatology].
Emapalumab's role in a severe and treatment-resistant paediatric macrophage activation syndrome.
From hip pain to MAS: A case of gonococcal arthritis in a child.
Macrophage activation syndrome in systemic lupus erythematosus: risk factors and outcomes.
Clinical and Immunological Overlap Between Visceral Leishmaniasis and Rheumatic Disorders: A Comparative Review on Diagnostic Challenges.
📚 EuropePMC1.005 artigos no totalmostrando 200
A Retrospective Analysis of Dengue-associated Hemophagocytic Lymphohistiocytosis in a Dengue-endemic Country.
The Pediatric infectious disease journalRetrospective study: clinical analysis of Kawasaki disease complicated with macrophage activation syndrome.
Italian journal of pediatricsIL12-engineered human PSMA-CAR T cells for the treatment of advanced prostate cancer.
bioRxiv : the preprint server for biology[Clinical Manifestations of Childhood Systemic Lupus Erythematosus-associated Acute Pancreatitis and Evaluation of the Efficacy of Plasma Exchange Combined With Glucocorticoids].
Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science editionClinical characteristics and diagnostic indicators of childhood-onset systemic lupus erythematosus complicated with macrophage activation syndrome.
Clinical rheumatologyPredictive value for intravenous immunoglobulin resistance of Kobayashi and Kawanet scores in 722 children with Kawasaki disease across diverse ethnic backgrounds (KIWI study): an international cohort study.
EClinicalMedicine2016 sJIA-MAS criteria and a step-up therapeutic approach in KD-MAS: insights from a combined cohort and literature review.
RMD openIs a variant of uncertain significance always 'insignificant'? A systematic review on PRF1 A91V in Hemophagocytic Lymphohistocytosis and comparative analysis with Still's disease.
Orphanet journal of rare diseasesAdjunctive Therapeutic Plasma Exchange in Refractory Adult-Onset Still's Disease Complicated by Secondary Macrophage Activation Syndrome: A Single-Center Experience.
Therapeutic apheresis and dialysis : official peer-reviewed journal of the International Society for Apheresis, the Japanese Society for Apheresis, the Japanese Society for Dialysis TherapyFrequency, Characteristics, Management, and Outcomes of Posttransplant Lymphoproliferative Disorder After Allogeneic Hematopoietic Stem Cell Transplantation in Children: A Multicentre Retrospective Study of the Turkish Pediatric BMT Study Group.
Turkish journal of haematology : official journal of Turkish Society of HaematologyA case of VEXAS syndrome presenting as macrophage activation syndrome: from chronic inflammation to multi-organ failure.
Internal and emergency medicineOrigin, diagnosis and treatment of periocular Histiocytic disorders- state-of-the-art review.
Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle OphthalmologieChildhood-Onset Systemic Lupus Erythematosus Research over the Past Decade in Japan.
Children (Basel, Switzerland)Transition of serum-free IL-18 levels in systemic juvenile idiopathic arthritis measured by a novel detection method.
CytokineSerum calprotectin elevation and interferon-α-induced neutrophil priming in macrophage activation syndrome associated with systemic lupus erythematosus: clinical and experimental insights.
Modern rheumatologyDrug-induced liver injury secondary to anakinra in a patient with systemic juvenile idiopathic arthritis-Case report and literature overview.
Canadian liver journalDiagnostic Complexity in Systemic Inflammation: Adult-Onset Still's Disease.
CureusRefractory macrophage activation syndrome in adult-onset Still's disease: response to interferon-γ blockade and JAK inhibition.
BMJ case reportsA Case of Refractory Adult-Onset Still Disease With Macrophage Activation Syndrome and Pulmonary Alveolar Proteinosis.
The Journal of rheumatologyIdentifying novel biomarkers for systemic lupus erythematosus associated with macrophage activation syndrome.
Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie[Macrophage activation syndrome in a young patient with polymyositis].
Ugeskrift for laegerAdult-Onset Still's Disease(AOSD) With Features Suggestive of Macrophages Activation Syndrome in Young Female: A Rare Case Report From Nepal.
Clinical case reportsHemophagocytic Lymphohistiocytosis and Infections in Children: An Update.
The Pediatric infectious disease journalType I Interferon Signature is Associated With Lung Disease, Drug-Associated Immune Reactions, and Genetic Variation in Interferon-Linked Pathways in Still Disease.
Arthritis & rheumatology (Hoboken, N.J.)[Musculoskeletal Complications in Rheumatic Diseases].
Journal of the Korean Society of RadiologyClinical features and comorbidities of Epstein-Barr virus infection in childhood-onset systemic lupus erythematosus with a focus on macrophage activation syndrome: a cross-sectional study of 200 patients.
Frontiers in immunologyUnmasking Hemophagocytic Lymphohistiocytosis After Minimal Tumor Necrosis Factor-Alpha (TNF-α) Blockade: An Interplay of Contributing Elements.
CureusClinically validated assay for rapid determination of type I and type II interferon activity in systemic inflammatory diseases.
The Journal of allergy and clinical immunologyStill's Disease and Autoinflammation: Positioning an Inflammatory Syndrome on the Autoinflammation-Autoimmunity Spectrum.
Current rheumatology reportsAn Unprecedented Triad: Simultaneous Acute Pancreatitis, Axonal Polyneuropathy, and Type 1 Diabetes Mellitus in a Catastrophic Juvenile Lupus Flare.
Clinical case reportsMacrophage Activation Syndrome-Associated Proteins and Enhanced Interferon-γ Responsiveness in the Plasma Proteome of Patients With Multisystem Inflammatory Syndrome in Children in a Pretreatment Replication Single-Center Cohort.
ACR open rheumatologyMacrophage Activation Syndrome Associated with Adult-onset Still's Disease Successfully Treated with Plasma Exchange and Canakinumab: A Case Report.
Internal medicine (Tokyo, Japan)Safety and Effectiveness of Canakinumab in Patients with Systemic Juvenile Idiopathic Arthritis in Japan: A Post-Marketing Surveillance Study.
Rheumatology and therapyAdvancing Precision Medicine in Adult-Onset Still's Disease: Insights into Biomarkers, Therapies, and COVID-19 Impacts.
Mediterranean journal of rheumatology[Hemophagocytic lymphohistiocytosis].
La Revue du praticienAn Unusual Case of Juvenile Dermatomyositis Complicated by Macrophage Activation Syndrome.
International journal of dermatologySpiroplasma infection complicated by macrophage activation syndrome and fulminant hepatitis in a kidney transplant recipient.
American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant SurgeonsAssociation of NXP2 autoantibodies with a more severe clinical phenotype of juvenile dermatomyositis.
Clinical and experimental rheumatologyAdult-Onset Still's Disease Presenting with Atypical Kikuchi-Fujimoto Disease-Like Histiocytic Necrotizing Lymphadenitis: A Diagnostic Pitfall.
European journal of case reports in internal medicineUtility of systemic score as a prognosis marker and biologic treatment indication in adults with Still's disease.
Medicina clinica[Interferon scores in the management of rheumatic systemic diseases].
Zeitschrift fur RheumatologieMacrophage Activation Syndrome Following Vaccination After HSCT.
Transplant infectious disease : an official journal of the Transplantation Society[Unusual presentation of Crohn disease associated with hemophagocytic lymphohistiocytosis syndrome: a case report].
Revista de gastroenterologia del Peru : organo oficial de la Sociedad de Gastroenterologia del PeruUnusual Cardiac Complication in Still's Disease: MAS-Induced Cardiogenic Shock.
JACC. Case reportsLupus mastitis heralding macrophage activation syndrome: Case report and systematic review of the literature.
LupusMultisystem Inflammatory Syndrome in Children with tailored therapy and six-month outcome.
Pediatric researchA Review of Adenosine Deaminase 2 (ADA2) as a Biomarker of Monocyte/Macrophage Activation.
Current allergy and asthma reportsRescue Therapy With Continuous Intravenous Anakinra Infusion and Plasma Exchange in Refractory Cytokine Storm of Systemic JIA: A Case Report.
Case reports in pediatricsHemophagocytic Lymphohistiocytosis (HLH) or Macrophage Activation Syndrome (MAS)? A Lethal Case of Malignancy-Associated Hemophagocytic Lymphohistiocytosis in a Patient With Concurrent Autoimmune Disease.
CureusClinical Practice Variation Among Pediatric Rheumatologists Treating Kawasaki Disease: Results of a North American Survey.
Children (Basel, Switzerland)Not Just Sjögren's: A Rare Life-Threatening Manifestation in a Pediatric Patient.
CureusTLR9 decreases FOXO3 expression to prevent excessive inflammation in macrophage activation syndrome.
iScienceMacrophage activation syndrome and rapidly progressive lung disease as life-threatening manifestations of anti-MDA5 antibody disease. A case report.
ReumatismoVaccine-induced immune thrombotic thrombocytopenia in Tunisia following AstraZeneca COVID-19 vaccination: a case report.
The Pan African medical journalRisk factors for macrophage activation syndrome in systemic juvenile idiopathic arthritis: a systematic review and meta-analysis.
Frontiers in pediatricsLysophosphatidic acid regulates macrophage polarization via LPAR1 by suppressing inflammatory responses and promoting M2-like characteristics.
Clinical and experimental immunologyAdult-Onset Still's Disease Complicated by Secondary Hemophagocytic Lymphohistiocytosis: A Case Report.
Clinical case reportsMacrophage activation syndrome in a child with varicella: a case report.
Journal of medical case reportsInterleukin-18 Levels Are Associated With Disease Course in Patients With Still Disease Treated With Interleukin-1 Inhibitors.
Arthritis & rheumatology (Hoboken, N.J.)Hepatic Manifestations in Systemic Juvenile Idiopathic Arthritis and Macrophage Activation Syndrome.
The Journal of rheumatologyBaseline Clinical Features and Biomarker Profiles of the Childhood Arthritis and Rheumatology Research Alliance Systemic Juvenile Idiopathic Arthritis-Associated Lung Disease Cohort.
Arthritis care & researchMevalonate kinase deficiency diagnosed in late adolescence presenting with macrophage activation syndrome.
Clinical and experimental rheumatologyDistinct Natural Killer Cell Signature in Still Disease: Insights From a Multinational Immunome Project Consortium for Autoinflammatory Disorders.
Arthritis & rheumatology (Hoboken, N.J.)Precision Immunotherapy to Improve Sepsis Outcomes: The ImmunoSep Randomized Clinical Trial.
JAMAHemophagocytic lymphohistiocytosis: do we have a solution for TMI (too much inflammation)?
Hematology. American Society of Hematology. Education ProgramHyperinflammatory status associated with COVID-19: clinical features of a pediatric series.
Advances in rheumatology (London, England)Full recovery with left ventricular unloading via venoarterial extracorporeal membrane oxygenation and use of emapalumab in severe metapnomovirus myocarditis presenting with cardiogenic shock.
Cardiology in the youngCase Report: Rare adverse events following CAR-T therapy in patients with relapsed/refractory diffuse large B-cell lymphoma.
Frontiers in oncologyEculizumab as an adjunctive rescue treatment for life-threatening childhood onset of systemic lupus erythematosus.
LupusPharmacological and non-pharmacological treatments for refractory paediatric Still's disease: a scoping review.
Rheumatology advances in practiceFatal Chronic Varicella-Zoster Viral Infection in a Young Man With Chediak-Higashi Syndrome.
Pediatric dermatologyEmapalumab as a Life-Saving Therapy for Macrophage Activation Syndrome in Refractory Systemic Juvenile Idiopathic Arthritis with Trisomy 21.
Turkish archives of pediatricsShock in Adult-Onset Still's Disease Complicated by Macrophage Activation Syndrome: Clinical Characteristics and Prognosis of 14 Patients.
International journal of hepatologyEtiologic spectrum and early mortality predictors in extreme hyperferritinemia: insights from rheumatology and hematology clinics.
Clinical rheumatologyPrediction nomogram of serum interferon-γ enable early identification of macrophage activation syndrome in children with Kawasaki disease.
Clinical rheumatologyTherapeutic plasma exchange in autoimmune diseases: a retrospective study in a tertiary pediatric hospital in Mexico.
Frontiers in pediatricsMonocyte/macrophages may exert prominent roles in macrophage activation syndrome.
Annals of hematologyKawasaki disease complicated with shock syndrome and macrophage activation syndrome in children: a case report.
Frontiers in pediatricsMacrophage activation syndrome-like in multiple myeloma patients treated with the academic CAR-T against BCMA ARI0002h.
Frontiers in immunologyHemophagocytic lymphohistiocytosis in 60 Mexican children with chronic granulomatous disease.
Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and ImmunologySustained remission with eculizumab in refractory lupus nephritis with atypical haemolytic uraemic syndrome.
BMJ case reportsDistinct expression profiles of inflammasome-associated genes in systemic juvenile idiopathic arthritis.
Rheumatology (Oxford, England)Low-dose emapalumab treatment in refractory macrophage activation syndrome secondary to adult onset still's disease/systemic lupus erythematosus: insights from nine cases.
Frontiers in immunologyFrom Cough to Myocarditis: A Systemic Tale of Adult-Onset Still's Disease.
CureusClinical significance of non-infectious procalcitonin elevation in Still's disease: a predictor of macrophage activation syndrome.
Rheumatology (Oxford, England)Macrophage Activation in Lupus Nephritis: An Unknown Cause of Severe Hypercalcemia.
Rhode Island medical journal (2013)Clinical Analysis of Two Cases of Histiocytic Necrotizing Lymphadenitis Complicated with Macrophage Activation Syndrome.
Iranian journal of allergy, asthma, and immunologyGriscelli Syndrome Type 2 Revealed by Macrophage Activation Syndrome: Two Cases From the Same Family.
CureusLong-term safety of canakinumab in patients with systemic juvenile idiopathic arthritis: 5-year results from the Childhood Arthritis and Rheumatology Research Alliance (CARRA) registry.
Pediatric rheumatology online journalAn animal model of NLRC4-associated autoinflammation and infantile enterocolitis reveals novel therapeutic strategies.
Cellular & molecular immunologyRecurrent macrophage activation syndrome in patients with refractory systemic lupus erythematosus treated with emapalumab: a case report.
Hong Kong medical journal = Xianggang yi xue za zhiClinical characteristics and prognostic factors in adult macrophage activation syndrome: an observational study in a Chinese cohort.
Lupus science & medicineReassessing sepsis research: new clues for old players and new players for an old symptom to improve patient outcomes.
EXCLI journalStill's disease: bridging the gap between guidelines and clinical practice.
Pediatric rheumatology online journalTreating and triggering hyperinflammation: tackling hemophagocytic lymphohistiocytosis and HLH-like syndromes in the pediatric cell therapy and critical care setting.
Frontiers in oncologyAdd in a virus: four cases of severe Kawasaki disease and concurrent adenovirus infection.
BMC pediatricsHemophagocytic lymphohistiocytosis: an update in diagnostics, criteria, and treatment considerations.
Current opinion in pediatricsPruritic eruption in a young woman with fever.
Skin health and diseaseClinical Features and Outcome Measures Across Still Disease (Systemic Juvenile Idiopathic Arthritis and Adult-Onset Still Disease) Cohorts Worldwide: A Systematic Literature Review.
The Journal of rheumatologyUnfolding dermatological spectrum of Still's disease: a cohort study from the International AIDA Network Still's Disease Registry.
Rheumatology (Oxford, England)In Vivo Immune Cell Responses and Long-Term Effects of Cold Atmospheric Plasma in the Upper Respiratory Tract.
International journal of molecular sciencesHyperferritinemia and Macrophage Activation Syndrome in Septic Shock: Recent Advances with a Pediatric Focus (2020-2025).
Children (Basel, Switzerland)Adult-onset Still's disease following COVID-19: a case report and literature review.
Modern rheumatology case reports[Emapalumab treatment for macrophage activation syndrome in a child with systemic lupus erythematosus].
Zhonghua er ke za zhi = Chinese journal of pediatricsLess is more: hematologic safety and sustained efficacy of a modified low-dose etoposide regimen in macrophage activation syndrome.
Arthritis & rheumatology (Hoboken, N.J.)Macrophage activation syndrome associated with multi-system inflammatory syndrome in children: a case report and cytokine profile.
Immunological medicineShould multisystem inflammatory syndrome in children be considered occult macrophage activation syndrome?
Clinical and experimental rheumatologyAllogeneic haematopoietic stem cell transplantation for severe Still's disease: a retrospective report of three paediatric patients.
Rheumatology (Oxford, England)Early-onset enterocolitis and concerning for macrophage activation syndrome in NLRC4 p.Val342Ala: IL-18 insights.
Pediatrics international : official journal of the Japan Pediatric SocietyA diagnostic algorithm to evaluate elevated C-reactive protein levels in juvenile systemic lupus erythematosus.
Biomarkers : biochemical indicators of exposure, response, and susceptibility to chemicalsTraditional laboratory parameters and IFNγ-related biomarkers in the diagnosis and management of MAS.
Seminars in arthritis and rheumatismSystemic Lupus Erythematosus with Hemophagocytic Lymphohistiocytosis Mimicking Tuberculosis in a Young Male: A Diagnostic Challenge.
Annals of African medicineEpstein-Barr Virus Seropositivity, Immune Dysregulation, and Mortality in Pediatric Sepsis.
JAMA network openEfficacy, pharmacokinetics and safety of iscalimab (CFZ533) in patients with proliferative lupus nephritis: a randomised, double-blind, placebo-controlled, phase II study.
RMD openProgressive Disseminated Histoplasmosis with Dermatomyositis and Macrophage Activation Syndrome/Hemophagocytic Lymphohistiocytosis.
The American journal of tropical medicine and hygieneSuccessful management of Still's disease with severe liver injury through the administration of baricitinib: a case report.
Frontiers in medicineHaemophagocytic Lymphohistiocytosis: An Uncommon Presentation in Systemic Lupus Erythematosus and Acute Leukaemia.
European journal of case reports in internal medicineSerum Cytokine Profiling Differentiates Underlying Diseases in Cytokine Storm Syndrome.
Arthritis & rheumatology (Hoboken, N.J.)Genetics of progressive multifocal leukoencephalopathy: update on case reports with an inborn error of immunity and risk variants found in drug-linked cases.
Frontiers in neurologyTargeting JAK-STAT in macrophage activation syndrome-no MAS!
BloodParadoxical hemoglobin drop Post-Transfusion: Hyperhemolysis in Delta-Beta thalassemia with macrophage activation syndrome.
QJM : monthly journal of the Association of PhysiciansEtiologies and long-term outcome of pediatric hemophagocytic lymphohistiocytosis and macrophage activation syndrome in Taiwan: a single-center retrospective study.
Frontiers in immunologyManaging the clinical heterogeneity of patients with Still's disease, from early diagnosis to timely treatment.
Autoimmunity reviewsUtility of patient-reported outcomes for pulmonary symptoms and sleep disturbance and impairment in children with systemic juvenile idiopathic arthritis.
Pediatric rheumatology online journalHaemophagocytic lymphohistiocytosis in pregnancy and the postpartum: A case series from the national HLH network.
Obstetric medicineEfficacy and safety of ruxolitinib in adult patients with refractory rheumatic disease-associated macrophage activation syndrome.
Frontiers in immunologySubphenotypic Classification of Immune Response in Sepsis: Predicting Mortality and Guiding Future Personalized Immunotherapy.
Acta medica IndonesiananCD64 index as a new early predictive biomarker for macrophage activation syndrome in adult-onset still's disease.
Arthritis research & therapySomatic Mosaic NLRC4 Variants in Autoinflammatory Diseases: Functional Characterization and Correlation of Mosaicism Levels with Disease Age of Onset and Severity.
Journal of clinical immunologyProlonged acyclovir therapy for Herpes simplex virus (HSV)-1-associated hepatitis in an immunocompetent man.
IDCasesInvestigation of the effect of serum gasdermin d levels on clinical course and mortality in patients with covid-19.
BMC infectious diseasesPhagocytes Out of Control: Macrophage Activation Syndrome After the Use of Biologic Agents in the Treatment of Systemic Juvenile Idiopathic Arthritis.
Pediatric annalsRefractory Sclerosing Mesenteritis/Mesenteric Panniculitis Presenting With Macrophage Activation Syndrome Treated With Rituximab.
The Journal of rheumatologyA Cytokine Storm Unveiled: Diagnostic Challenges of Macrophage Activation Syndrome in the Context of Undiagnosed Systemic Lupus Erythematosus in an Adolescent.
Annals of African medicineSafety and Efficacy of Simultaneous Vaccination with Polysaccharide Conjugate Vaccines Against Pneumococcal (13-Valent Vaccine) and Haemophilus Type B Infections in Children with Systemic Juvenile Idiopathic Arthritis: Prospective Cohort Study.
VaccinesCharacteristics of 21 Patients with Secondary Hemophagocytic Lymphohistiocytosis-Insights from a Single-Center Retrospective Study.
Medicina (Kaunas, Lithuania)Macrophage activation syndrome-associated adult onset Still disease treatment: a scoping review of case reports and case series.
Proceedings (Baylor University. Medical Center)Macrophage activation syndrome complicating adult-onset Still's disease: the case for standardized guidelines.
Proceedings (Baylor University. Medical Center)Tofacitinib in the Treatment of Refractory Adult-Onset Still's Disease Co-diagnosed With Celiac Disease: A Case Report.
CureusC1q monogenic lupus: a case series and review.
Rheumatology advances in practiceCase Report: Two Cases of Kikuchi Disease in West Texas With Non-Self-Limited Disease.
Journal of investigative medicine high impact case reports[Systemic juvenile idiopathic arthritis. Pediatric-onset Still's disease].
La Revue du praticienFrench protocol for the diagnosis and management of juvenile idiopathic arthritis including pediatric-onset Still's disease.
La Revue de medecine interneOutcomes of children with juvenile idiopathic arthritis receiving biological disease-modifying anti-rheumatic drugs: a retrospective single-centre experience from India.
The Lancet regional health. Southeast AsiaTurmeric and Eucalyptus Aqueous Extracts Reduced Inflammation in Macrophage Activation Syndrome (MAS) Mouse Model.
Journal of inflammation researchAnti-melanoma differentiation-associated gene 5 antibody associated rapidly progressive interstitial lung disease in a pediatric patient: a case report.
Journal of medical case reportsLife-Threatening Macrophage Activation Syndrome in Pregnancy: First Manifestation of SLE Induced by Parvovirus B19.
International journal of molecular sciencesUnmasking the Masquerade: A Case Report of Adult-Onset Still's Disease.
CureusAnalysis of the clinical characteristics of five patients with Kawasaki disease complicated with macrophage activation syndrome in Baoding Hospital of Beijing Children's Hospital, Capital Medical University.
Pakistan journal of medical sciencesTrends and Hot Spots of Macrophages Linked to Metabolic Syndrome: A Comprehensive Bibliometric and Visualization Analysis (2014-2024).
Mediators of inflammationMacrophage activation syndrome in a pediatric patient: Findings on PET/CT with 18F-FDG.
Revista espanola de medicina nuclear e imagen molecularA retrospective study of long-term outcomes related with initial factors in childhood onset systemic lupus erythematosus.
LupusThe pathophysiology of hemophagocytic lympho-histiocytosis (HLH) syndrome and insights from animal models.
Clinical and experimental immunologyMacrophage activation syndrome with hypoplastic marrow and orbital myositis as a unique initial presentation of systemic lupus erythematosus: A case-based review.
Modern rheumatology case reportsImpact of Interleukin-1 Blockade on the Development of Macrophage Activation Syndrome in Still Disease: Incidence and Diagnostic Validity of the EULAR/ACR/PRINTO 2016 MAS Classification Criteria.
Arthritis & rheumatology (Hoboken, N.J.)Macrophage Activation Syndrome Revealing Hodgkin Lymphoma: A Pediatric Case Report.
CureusMacrophage activation syndrome associated with neonatal lupus erythematosus.
LupusRuxolitinib targets JAK-STAT signaling to modulate neutrophil activation in refractory macrophage activation syndrome.
BloodEffective Treatment of Macrophage Activation Syndrome Linked to Systemic Lupus Erythematosus Using Interleukin-1 Inhibitor.
CureusPulmonary arterial hypertension in adults with Still's disease: another pulmonary manifestation associated with HLA-DRB1*15.
Annals of the rheumatic diseasesAdvancing multidisciplinary management of pediatric hyperinflammatory disorders.
Frontiers in pediatricsEndogenous Lipoid Pneumonia in Adult Autoinflammatory Disease.
Arthritis care & research[Epistaxis and weight loss in a 73-year-old man].
La Revue de medecine interneModeling the HLH immune synapse uncovers critical roles for IS termination, cytokine intensity, and target cell death.
BloodHaemophagocytic Lymphohistiocytosis as an Initial Presentation of Undiagnosed Systemic Lupus Erythematosus.
European journal of case reports in internal medicineTofacitinib as a possible treatment in macrophage activation syndrome: a pilot single-center study in China.
Clinical rheumatologyLong-term effectiveness and safety of baricitinib treatment on refractory or severe juvenile dermatomyositis.
Rheumatology (Oxford, England)Upregulation of Fcγ Receptor IV on Activated Monocytes and Macrophages Causes Nonspecific Binding of the PK136 Anti-NK1.1 Antibody in Murine Models of Toll-Like Receptor-Induced Inflammation.
Scandinavian journal of immunologyCorrigendum: Early identification of macrophage activation syndrome in adult-onset Still's disease: a case report and literature review.
Frontiers in medicineUnmet needs and research gaps in Still's disease across ages: proceedings from a pediatric and adult joint expert panel.
Pediatric rheumatology online journalCase Report: Macrophage activation syndrome due to multifocal tuberculosis in an immunocompromised patient.
F1000ResearchFatal Acute Intestinal Obstruction with Hemophagocytic Lymphohistiocytosis and Multiple Organ Failure in Adult-Onset Still's Disease: A Rare Case Report.
Journal of inflammation researchMacrophage Activation Syndrome in Adult-Onset Still's Disease: Challenges in Early Detection and Management.
CureusManagement Challenge of Coexistence of Macrophage Activation Syndrome, Systemic Lupus Erythematosus, and Hepatitis B: Case Report.
Clinical case reportsSuccessful re-administration of tocilizumab in a patient with adult-onset Still's disease after improvement of macrophage activation syndrome.
Modern rheumatology case reportsMacrophage activation syndrome successfully treated with eculizumab and emapalumab: a case report.
Frontiers in immunologyMacrophage Activation Syndrome as an Atypical Manifestation of Mixed Connective Tissue Disease in a 14-Year-Old Girl: A Case Report.
CureusAdult-Onset Still's Disease Presenting as Aseptic Meningitis: A Case Report and Literature Review.
CureusFirst-line biological versus conventional synthetic disease-modifying antirheumatic drug therapy in adult-onset Still's disease: a multicentre, retrospective, propensity weighted cohort study.
The Lancet. RheumatologyΗidradenitis suppurativa associated with autoimmunity in children and adolescents; a case-based review.
Rheumatology internationalMacrophage Activation Syndrome in Kawasaki Disease: Insights from a Systematic Literature Review on Diagnosis, Clinical Features, and Treatment.
Children (Basel, Switzerland)High Neutrophil Alkaline Phosphatase Activity in Adult-Onset Still's Disease.
Rheumatology and therapyCharacterization of Patients with Macrophage Activation Syndrome Secondary to Systemic Juvenile Idiopathic Arthritis.
Clinical rheumatologyMacrophage activation syndrome in Kawasaki disease: a literature review of Korean studies.
Journal of rheumatic diseasesMacrophage Activation Syndrome: Not Just for Rheumatologists Anymore.
Hematology/oncology clinics of North AmericaT-ing up the storm: pathogenic cycling lymphocytes in the biology of macrophage activation syndrome.
Pediatric rheumatology online journalAn Inflammatory Cascade: Still's Disease Complicated by Macrophage Activation Syndrome.
The American journal of medicineTreatment of systemic juvenile idiopathic arthritis: conventional treatment versus biologics.
The Turkish journal of pediatrics[Fever and Pancytopenia - not Always a Case for Oncology].
Praxis[A rare differential diagnosis of fever of unknown origin].
Innere Medizin (Heidelberg, Germany)Influence of CAR T-cell therapy associated complications.
Frontiers in oncologySuccessful control of recurrent MAS by canakinumab in a Sjögren syndrome patient with homozygous MEFV P369S variants and review of literatures.
Modern rheumatology case reportsDevelopment of anti-murine IL-18 binding protein antibodies to stimulate IL-18 bioactivity.
Journal of immunology (Baltimore, Md. : 1950)Systemic juvenile idiopathic arthritis and adult-onset Still's disease are the same disease and should now be designated by the same unique name, Still's disease.
Joint bone spineSustained remission after bispecific antibody anti-IL-1β/anti-IL-18 therapy in a severe childhood Still's disease with recurrent macrophage activation syndrome.
Joint bone spineMarked exacerbation of resolving macrophage activation syndrome in a patient with adult-onset Still's disease following one dose of granulocyte colony-stimulating factor.
BMJ case reportsMortality in children and adolescents with autoimmune inflammatory rheumatic diseases admitted to the pediatric intensive care unit.
Pediatric rheumatology online journalHyperferritinemia is Associated with Thrombocytopenia and Increased Mortality Risk in Adult Sepsis Patients: A Retrospective Study of Two Observational Cohorts.
Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/HemostasisGastrointestinal system involvement characteristics in Covid -19 patients.
JPMA. The Journal of the Pakistan Medical AssociationTetrandrine alleviates macrophage activation syndrome after CAR-T cell therapy.
Phytomedicine : international journal of phytotherapy and phytopharmacologyAssociações
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Referências e fontes
Bases de dados externas citadas neste artigo
Publicações científicas
Artigos indexados no PubMed ligados a esta doença no grafo RarasNet — título, periódico e PMID direto da fonte, sem intermediação de IA.
- [Clinical Manifestations of Childhood Systemic Lupus Erythematosus-associated Acute Pancreatitis and Evaluation of the Efficacy of Plasma Exchange Combined With Glucocorticoids].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition· 2026· PMID 41834965mais citado
- Refractory macrophage activation syndrome in adult-onset Still's disease: response to interferon-γ blockade and JAK inhibition.
- Precision Immunotherapy to Improve Sepsis Outcomes: The ImmunoSep Randomized Clinical Trial.
- Retrospective study: clinical analysis of Kawasaki disease complicated with macrophage activation syndrome.
- Is a variant of uncertain significance always 'insignificant'? A systematic review on PRF1 A91V in Hemophagocytic Lymphohistocytosis and comparative analysis with Still's disease.
- [Management of emergencies in rheumatology].
- Emapalumab's role in a severe and treatment-resistant paediatric macrophage activation syndrome.
- From hip pain to MAS: A case of gonococcal arthritis in a child.
- Macrophage activation syndrome in systemic lupus erythematosus: risk factors and outcomes.
- Clinical and Immunological Overlap Between Visceral Leishmaniasis and Rheumatic Disorders: A Comparative Review on Diagnostic Challenges.
Bases de dados e fontes oficiais
Identificadores e referências canônicas usadas para montar este verbete.
- ORPHA:158061(Orphanet)
- MONDO:0015545(MONDO)
- GARD:12124(GARD (NIH))
- Busca completa no PubMed(PubMed)
- Q6725504(Wikidata)
Dados compilados pelo RarasNet a partir de fontes abertas (Orphanet, OMIM, MONDO, PubMed/EuropePMC, ClinicalTrials.gov, DATASUS, PCDT/MS). Este conteúdo é informativo e não substitui avaliação médica.
Conteúdo mantido por Agente Raras · Médicos e pesquisadores podem colaborar
