Publication details

Léčba tří pacientů s Erdheimovou-Chesterovou chorobou kladribinem, případně kombinací kladribinu a cyklofosfamidu a přehled léčby této nemoci

Title in English Therapy of 3 patients with Erdhiem-Chester disease with cladribin or cladribin in combination with cyclophosphamide. Case report and review of the therapy
Authors

KRÁL Zdeněk ŘEHÁK Zdeněk KREJČÍ Marta KOUKALOVÁ Renata ŠEVČÍKOVÁ Sabina POUR Luděk KREJČÍ Martin ŠTORK Martin SANDECKÁ Viera ADAM Zdeněk

Year of publication 2021
Type Article in Periodical
Magazine / Source Vnitřní lékařství
MU Faculty or unit

Faculty of Medicine

Citation
web https://casopisvnitrnilekarstvi.cz/artkey/vnl-202103-0004_therapy-of-3-patients-with-erdhiem-chester-disease-with-cladribin-or-cladribin-in-combination-with-cyclophospha.php
Doi http://dx.doi.org/10.36290/VNL.2021.037
Keywords Erdheim-Chester disease; kladribin; anakinra
Description Three adult patients with confirmed Erdheim-Chester disease (ECD) are followed at our department. Cladribine in monotherapy or in combination with cyclophosphamide were used for first line therapy. The median number of cycles of cladribine or cladribine and cyclophosphamide was 7 (range 6-8). In two cases complete response was achieved, in one case this therapy achieved no response. The duration of response is in one case 11 years, in second case the follow up is too short for evaluation of response duration. In case of no-response to cladribine and cyclophosphamide stabilisation of disease was achieved with anakinra. The tolerance was good without any toxicity grade II and higher. Cladribin and cyclophosphamide is one option for treatment of Erdheim-Chester disease.

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