Case Report

“A Dangerous Black Box:” Idiopathic Hemophagocytic Lymphohistiocytosis in Adult Patients—A Case Report and Review of the Literature

Table 3

Saint-Antoine score [23] calculated for this case (https//saintantoine.aphp.fr/score/).

Known underlying immunodepressionNo
Maximal temperature (°C)Strictly greater than 39.4
HepatomegalyNo
SplenomegalyYes
Lower hemoglobin levelStrictly greater than 92 g/L
Lower leukocyte countLess than or equal to 5 g/L
Lower platelet countLess than or equal to 110 g/L
Higher ferritin level (ng/ml)Strictly greater than 6000
Higher triglyceride level (mmol/l)Between 1.5 and 4
Lower fibrinogen level (g/L)Strictly greater than 2.5
Higher ASAT/ALAT level (UI/l)Greater than or equal to 30
Hemophagocytosis features on the bone marrow aspirateNo
Calculate
HScore209
Probability of having HS (%)92.87735027549559