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. 2021 Sep 26;15(2):79–90. doi: 10.1177/1753495X211011913

Table 3.

HLH-2004 diagnostic criteria (for use in non-pregnant individuals). 54

HLH-2004 diagnostic criteria (≥5 of 8 criteria below)
1. Fever
2. Splenomegaly
3. Cytopenia affecting ≥2 of 3 peripheral blood lineages
– Haemoglobin < 90 g/L
– Platelets < 100 ×109/L
– Neutrophils <1.0 × 109/L
4. Hypertriglyceridaemia and/or hypofibrinogenaemia
– Fasting triglycerides ≥3.0 mmol/L
– Fibrinogen ≤1.5 g/L
5. Haemophagocytosis in bone marrow, spleen or lymph nodes with no evidence of malignancy
6. Low or no NK cell activity
7. Ferritin ≥500 µg/L
8. Soluble CD25 (i.e. soluble interleukin-2 receptor, sIL-2R) ≥2400 U/ml