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What is Hemophagocytic Lymphohistiocytosis (HLH)?

July 9, 2026

Former Afghanistan fast bowler Shapoor Zadran died at the age of 38 recently after battling Hemophagocytic Lymphohistiocytosis (HLH), a rare immune system disorder.

About Hemophagocytic Lymphohistiocytosis (HLH):

  • It is a rare but serious condition in which the body's immune system becomes overactive.
  • Instead of protecting the body from infections, the immune system starts attacking healthy tissues and organs.
  • This causes severe inflammation that can affect the liver, spleen, bone marrow, brain, and other parts of the body.
  • The condition can become life-threatening if left untreated.
  • HLH can occur for different reasons. It is mainly divided into two types:
  • Primary (Familial) HLH:
    • This type is caused by genetic changes passed down from parents.
    • It usually appears during infancy or early childhood, although it can sometimes develop later in life.
  • Secondary (Acquired) HLH:
    • This type develops due to medical conditions that trigger the immune system.
    • Common triggers include:
      • Viral infections such as Epstein-Barr virus (EBV) or cytomegalovirus (CMV)
      • Certain bacterial, fungal, or parasitic infections
      • Autoimmune diseases like lupus or rheumatoid arthritis
      • Blood cancers such as lymphoma or leukemia
      • A weakened immune system due to certain medications or medical conditions
    • Treatment:
      • HLH treatment depends on the cause, the patient's age when the disease starts, and how severe the disease is.
      • Chemotherapy and cancer drugs, immunotherapy, steroids that fight inflammation, antibiotics, and antiviral drugs are all mentioned as part of the treatment protocol.

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