Hemophagocytic Lymphohistiocytosis (HLH) - The Enigm

We report a case of Hemophagocytic lymphohistiocytosis in a 12 year old child. The clue to diagnosis was made by examination of bone marrow biopsy which showed hemophagocytosis. The disease is under reported and it mandates certain criteria for making diagnosis with hemaphocytosis being one of them. In particular in a resource limited set up where advanced complex tests could not be done, careful morphological assessment plays a pivotal role.