Abstract
We describe a 4-year-old girl with haemophagocytic syndrome (HPS) in whom hepatic gallium-67 citrate (Ga-67) uptake was suppressed when the disease was in its acute phase and returned to normal when the disease was in remission. The prominent clinical feature of this case was the occurrence of systemic capillary leak syndrome (CLS). Because extravasation of plasma proteins may be the result of vascular endothelial injury in CLS, loss of hepatic Ga-67 uptake may reflect insult to the hepatic sinusoidal endothelium. This case suggests a possible role of sinusoidal endothelial cells in the mechanism of hepatic Ga-67 uptake and indicates the need for further study of Ga-67 uptake in patients with HPS.
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Rehm PK (2001) Radionuclide evaluation of patients with lymphoma. Radiol Clin North Am 39:957–978
Imasyuku S, Hibi S, Toda S (1997) Hemophagocytic lymphohistiocytosis in infancy and childhood. J Pediatr 130: 352-357
Favara BE (1992) Hemophagocytic lymphohistiocytosis: a hemophagocytic syndrome. Semin Diagn Pathol 9:63–74
Abe S, Hasegawa S, Nirasawa M, et al (2001) Transferrin is not involved in the entry of 67 Ga into hepatocytes from regenerating liver of partially hepatomized rats. Biol Pharm Bull 24:1343–1346
Deaciuc IV, Bagby GJ, Lang CH, et al (1993) Hyaluronic acid uptake by the isolated, perfused rat liver: an index of hepatic sinusoidal endothelial cell function. Hepatology 17:266–272
Rafi-Janajreh AQ, Chen D, Schmits R, et al (1999) Evidence for the involvement of CD44 in endothelial cell injury and induction of vascular leak syndrome by IL-2. J Immunol 163:1619-1627
Rosenstein M, Ettinghausen SE, Rosenberg SA (1986) Extravasation of intravascular fluid mediated by the systemic administration of recombinant interleukin 2. J Immunol 137: 1735-1742
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Morino, M., Kumakura, R., Miura, N. et al. Decreased hepatic uptake of gallium-67 citrate in haemophagocytic syndrome occurring concomitantly with capillary leak syndrome. Pediatr Radiol 33, 804–806 (2003). https://doi.org/10.1007/s00247-003-1026-2
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DOI: https://doi.org/10.1007/s00247-003-1026-2