Abstract Background Hemophagocytic lymphohistiocytosis (HLH) is a severe clinical entity associated with high mortality in the adult population. HLH has been associated with infections. malignancy and autoimmune conditions such as Systemic Lupus Erythematosus (SLE). however this is often in the context of a disease flare. https://www.yeehawranches.shop/product-category/shoes/