Cytokine storm syndrome: looking toward the precision medicine era

EM Behrens, GA Koretzky - Arthritis & rheumatology, 2017 - Wiley Online Library
EM Behrens, GA Koretzky
Arthritis & rheumatology, 2017Wiley Online Library
“Cytokine storm syndrome” is a diverse set of conditions unified by a clinical phenotype of
systemic inflammation, multi-organ failure, hyperferritinemia, and, if untreated, often death.
This clinical constellation is caused by the elaboration of extreme amounts of inflammatory
mediators resulting from unchecked feedforward immune activation and amplification. The
initiating factors leading to the end state of cytokine storm are heterogeneous and derive
from rheumatologic, oncologic, and infectious origins. The first member of the cytokine storm …
“Cytokine storm syndrome” is a diverse set of conditions unified by a clinical phenotype of systemic inflammation, multi-organ failure, hyperferritinemia, and, if untreated, often death. This clinical constellation is caused by the elaboration of extreme amounts of inflammatory mediators resulting from unchecked feedforward immune activation and amplification. The initiating factors leading to the end state of cytokine storm are heterogeneous and derive from rheumatologic, oncologic, and infectious origins.
The first member of the cytokine storm family to be recognized by physicians was sepsis. The appreciation that the consequences of sepsis are a result not of the pathogen, but rather the immune response to the pathogen, dates back to observations made by William Osler in 1904
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