From: Erdheim-Chester Disease: a comprehensive review of the literature
Age at onset | 5th - 7th decade of life | Arnaud et al. [1] |
Presenting symptoms | Diabetes insipidus, bone pain and exophthalmos | Veyssier-Belot [5] |
Disease distribution | Skeleton: Long bones osteosclerosis (bone pain) | Dion et al. [30] |
Cranium & CNS: | Drier et al. [10] | |
Pituitary defects (diabetes insipidus, panhypopituitirism) | ||
Retro-orbital lesions (exophthalmos) | ||
Cerebellar lesions (ataxia) | ||
Cardiovascular: | Haroche et al. [54] | |
Pericardial infiltration / effusion | ||
Periaortic sheathing ("coated aorta") | ||
Myocardial infiltration / right atrial tumor | ||
Pulmonary: | Arnaud et al. [26] | |
Interstitial lung disease | ||
Pleural effusion | ||
Renal & Retroperitoneal: | Haroche et al. [2] | |
Perirenal infiltration ("hairy kidney") | ||
Post renal obstruction (hydronephrosis) | ||
Renal artery stenosis (renovascular hypertension) | ||
Cutaneous: Periorbital xanthelasmae | Veyssier-Belot [5] | |
Imaging | 99mTc Bone Scintigraphy | Gotthardt et al. [76] |
PET/CT | Arnaud et al. [77] | |
Treatment | 1st line alternatives: | Arnaud et al. [1] |
Interferon-α / Peginterferon alfa-2a | Hervier et al. [92] | |
2nd line alternatives: | Â | |
Cladribine* | Myra et al. [93], Adam et al. [103] | |
Vemurafenib | Haroche et al. [101] | |
Anakinra | Aouba et al. [88] | |
Infliximab | Dagna et al. [85] | |
Prognosis | 1 year survival: 96% | Arnaud et al. [1] |
5 year survival: 68% |