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Table 2 LCH localizations and stratification (SS vs. MS disease) observed during the 27 episodes of disease reactivation/worsening observed in 17 patients and associated with the treatments used during the study

From: Vinblastine chemotherapy in adult patients with langerhans cell histiocytosis: a multicenter retrospective study

Characteristic

N = 27

SS LCH, n (%)

11 (41%)

Bone

11

MS LCH, n (%)

16 (59%)

Bone, DI and AHD, CNS

2

Bone, skin, oral mucosa, and DI

1

Bone, skin, vulvar mucosa

2

Bone, skin, lymph nodes

1

Lung and bone

2

Lung, bone, and DI

1

Lung, bone, liver, skin, oral mucosa, DI and AHD

1

Lung, liver

1

Lung, lymph nodes,

1

Lung, skin, DI

2

Skin, anal mucosa, liver

1

Skin, oral and anal mucosa, liver, hematologic involvement, spleen

1

Treatment with reactivations

No treatment

3

Bone surgery

1

AINS

1

Vinblastine (and steroids)

13

Cladribine

3

Cladribine/MTX

1

Cladribine/bisphosphonates

1

VP16/aracytine

1

Steroids

1

IFN alpha a

1

Liver transplantation

1

  1. LCH Langerhans cell histiocytosis, SS single system, MS multisystem, CNS central nervous system, DI diabetes insipidus, AHD anterior hypophysis dysfunction
  2. aAdministered for ECD occurrence (mixed histiocytosis)