RT Journal Article T1 Familial hemophagocytic lymphohistiocytosis in an adult patient homozygous for A91V in the perforin gene, with tuberculosis infection A1 Mancebo, Esther A1 Allende-Martinez, Luis M. A1 Guzman, Maria A1 Paz-Artal, Estela A1 Gil, Juana A1 Urrea-Moreno, Ramon A1 Fernandez-Cruz, Eduardo A1 Gayà, Antoni A1 Calvo Benito, Javier A1 Arbós, Aina A1 Duran Pastor, Maria Antonia A1 Canet, Ramón A1 Balanzat-Muñoz, José A1 Udina, María A. A1 Vercher, Javier AB Perforin gene (PRF1) mutations have been reported in 20-30% of patients with familial hemophagocytic lymphohistiocytosis (FHL), an autosomal recessive disorder of infancy and early childhood that impairs or abolishes lymphocyte cytotoxicity. We report the first case of FHL in an adult patient homozygous for A91V in PRF1 with tuberculosis. The monozygotic twin of the patient is healthy. A91V confers genetic susceptibility for the development of FHL, but is not enough to trigger the disease on its own. We discuss the role of the A91V change together with M. tuberculosis infection as synergistic factors in the late onset of FHL. PB Ferrata Storti Foundation SN 0390-6078 YR 2006 FD 2006-09-01 LK https://hdl.handle.net/20.500.13003/14140 UL https://hdl.handle.net/20.500.13003/14140 LA eng NO Mancebo Esther, Allende Luis M., Guzman Maria, Paz-Artal Estela, Gil Juana, Urrea-Moreno Ramon, et al. Familial hemophagocytic lymphohistiocytosis in an adult patient homozygous for A91V in the perforin gene, with tuberculosis infection. Haematologica. 2006 Sep 01;91(9):1257-1260. DS Docusalut RD 28 abr. 2026