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Cited by 448

The DOI matches its Crossref record; 81 of the 81 references it cites were found in a registry or an index.

Macrophage activation syndrome in the era of biologic therapy

Open access
Grom, Alexei A., Horne, AnnaCarin, De Benedetti, Fabrizio·2016·Nature Reviews Rheumatology

Abstract

Macrophage activation syndrome (MAS) refers to acute overwhelming inflammation caused by a 'cytokine storm'. Although increasingly recognized as a life-threatening complication of various rheumatic diseases, clinically, MAS is strikingly similar to primary and secondary forms of haemophagocytic lymphohistiocytosis (HLH). Not surprisingly, many rheumatologists prefer the term secondary HLH rather than MAS to describe this condition, and efforts to change the nomenclature are in progress. The pathophysiology of MAS remains elusive, but observations in animal models, as well as data on the effects of new anticytokine therapies on rates and clinical presentations of MAS in patients with systemic juvenile idiopathic arthritis (sJIA), provide clues to the understanding of this perplexing clinical phenomenon. In this Review, we explore the latest available evidence and discuss potential diagnostic challenges in the era of increasing use of biologic therapies.

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Metadata

Authors
Grom, A. A., Horne, A., & De Benedetti, F.
Venue
Nature Reviews Rheumatology
Published
2016-03-24
Volume
12
Issue
5
Pages
259-268
ISSN
  • 1759-4790 (ISSN-L)
  • 1759-4804
OpenAlex
W2304277276
Cited by
448
References
81
FWCI
5.68
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: Macrophage activation syndrome in the era of biologic therapy. https://app.cochat.ai/papers/10.1038/nrrheum.2015.179
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Grom, A. A., Horne, A., & De Benedetti, F. (2016). Macrophage activation syndrome in the era of biologic therapy. Nature Reviews Rheumatology. https://doi.org/10.1038/nrrheum.2015.179

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