“…Secondary HLH is seen associated with wide variety of diseases such as viral infection, lymphomas, solid organ malignancies and autoimmune disorders. [12] Genetic disorders like Familial HLH, Chediak Higashi syndrome, X linked lymphoproliferative disease and GS type 2 underlie primary HLH. [2] Primary HLH are usually diagnosed in young, rarely they are recognized at later age as in our case.…”