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Table 1 Characteristics of the patients at the time of diagnosis of PLCH

From: Management and outcomes of pneumothorax in adult patients with Langerhans cell Histiocytosis

Characteristic

N = 43

Age, years, median, [IQR]

26.5 [22.9–35.4]

Male sex, n (%)

26 (60%)

Smoker, n (%)

39 (91%)

Ex-smoker

4 (9%)

Cannabisa, n (%)

14 (33%)

Asymptomatic

12 (28%)

Respiratory symptoms, n (%)

25 (58%)

Cough

17 (40%)

Dyspnoea

14 (33%)

NYHA II/III

13/1

Constitutional symptoms

11 (26%)

Histological diagnosis, n (%)

33 (77%)

Genotyping, n

22

BRAFV600E, n (%)

11 (50%)

Pneumothorax as initial manifestation

28 (65%)

Isolated PLCH, n (%)

30 (70%)

MS LCH, n (%)

13 (30%)

Non-pulmonary LCH localizations, n

 

Bone

4

Pituitary stalk

9

Diabetes insipidus

9

Anterior hypophysis dysfunction

4

Skin

4

Peripheral lymph nodes

2

CNS

1

Liver

1

Lung functionb, n

36

TLC, % of predicted, n = 33

94 [87–107]

VC, % of predicted, n = 35

80 [65–96]

RV/TLC, % of predicted, n = 29

141 [118–162]

FEV1, % of predicted, n = 36

75.5 [59–90.5]

FEV1/FVC %, n = 31

78 [70–84]

DLCO % of predicted, n = 21

58 [53–71]

Restrictionc, (%)

3 (9%)

Obstruction, (%)

7 (23%)

Air trapping, n (%)

20 (69%)

  1. aall tobacco smokers
  2. bevaluated before the first pneumothorax in 11 patients (median time interval of −7.0 months IQR [−21.8; − 2.8]) and after the pneumothorax within a median time of 4.5 months, IQR [2.0–10.5] in the 25 remaining patients
  3. crestriction was defined as TLC < 80% of predicted; obstruction as FEV1/FVC < 70% and air trapping as RV/TLC > 120% of predicted
  4. Abbreviation definitions: PLCH pulmonary Langerhans cell histiocytosis, NYHA New York heart association, MS multisystem, CNS central nervous system, TLC total lung capacity, VC vital capacity, RV residual volume, FEV1 forced expiratory volume in 1 s, FVC forced vital capacity, DLCO diffusion of carbon monoxide