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Table 8 Therapeutic recommendations in pLCH

From: Management of adult patients with Langerhans cell histiocytosis: recommendations from an expert panel on behalf of Euro-Histio-Net

Recommendation

Grade

First step is smoking cessation in all patients

C2

Watchful waiting in a- or minor symptomatic patients

C2

Systemic steroid therapy in symptomatic patients

C2

Chemotherapy (e.g. 2-CDA) in progressive disease

C2

Consider lung transplantation in case of severe respiratory failure or major pulmonary hypertension

C2