Clinical and PET/CT metabolic imaging characteristics across the evolving spectrum of visceral leishmaniasis and associated hemophagocytic lymphohistiocytosis - Takeaways - MDSpire

Clinical and PET/CT metabolic imaging characteristics across the evolving spectrum of visceral leishmaniasis and associated hemophagocytic lymphohistiocytosis

  • By

  • Chao Yang

  • Yan Wang

  • Ruixian Duan

  • Feiyan Wei

  • Xiu Sun

  • July 13, 2026

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  • 1

    The study involved 21 patients with visceral leishmaniasis, categorized into VL-only, VL-HLH, and a Grey Zone group.

  • 2

    The VL-HLH group showed significantly higher C-reactive protein levels and spleen thickness compared to the VL-only group.

  • 3

    PET/CT identified the spleen and bone marrow as primary metabolic targets, with splenic SUVmax correlating with D-dimer and ferritin.

  • 4

    A simple risk score based on C-reactive protein and spleen thickness effectively stratified patients by disease severity.

  • 5

    The study highlights the systemic inflammation-coagulation-tissue injury network in VL and the need for improved diagnostic tools.

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