Successful treatment of refractory hemophagocytic lymphohistiocytosis complicating Epstein-Barr virus-positive classic Hodgkin lymphoma with rituximab.

J Clin Exp HematopAug 29, 2026 (epub)

Satoshi Ichikawa, Yutaka Suzuki, Yuya Tanaka et al.

✦ AI-curated · Sources linked

Case in brief

A male in his early 70s with advanced EBV-positive mixed-cellularity classic Hodgkin lymphoma presented with cervical lymphadenopathy, fever, and hepatosplenomegaly. Despite initial chemotherapy, he developed hemophagocytic lymphohistiocytosis (HLH) characterized by persistent fever and cytopenia. Administration of rituximab led to rapid resolution of fever and significant improvement in laboratory markers, allowing continuation of chemotherapy, which resulted in a complete response.

Diagnostic / clinical pearl

Rituximab may be an effective adjunctive treatment for refractory HLH associated with EBV-positive classic Hodgkin lymphoma, particularly when standard therapies are insufficient.

Source

Published in J Clin Exp Hematop. This summary was written by xxcode from the publication's abstract and metadata. It is not peer reviewed and is not a substitute for the original article. For clinical decisions, review the original publication.

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