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In our opinion, and in that of many other authors, there is no doubt about the existence of a hyperinflammatory response in a subgroup of patients, and that ferritin has been a basic laboratory test for the diagnosis of this complication.<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1–3</span></a> This storm is remarkably similar to that which occurs in hemophagocytic syndrome or in macrophage activation syndrome associated with systemic autoimmune diseases, and in the former case, despite the association in most adult patients with an infectious aetiology, the mainstay of treatment is glucocorticoids.<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a> The results of the RECOVERY<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a> study, which we are sure the authors did not have access to at the time of writing their letter when they took a position against the use of glucocorticoids, are absolutely conclusive about their benefit on mortality in these patients.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Callejas JL, Ortego Centeno N. 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Letter to the Editor
Reply
Respuesta
Jose Luis Callejas
, Norberto Ortego Centeno
Corresponding author
Unidad de Enfermedades Sistémicas, Hospital San Cecilio, Granada, Spain