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Erdheim-Chester disease: characteristics and management.
[erdheim-chester disease]
Erdheim-
Chester
disease
is
a
rare
CD
68
(
+
)
,
CD
1
a
(
-
)
non-
Langerhans
cell
histiocytosis
with
multiorgan
involvement
.
The
etiology
of
Erdheim-
Chester
disease
is
unclear
;
there
are
no
known
associated
infectious
or
hereditary
genetic
abnormalities
.
However
,
somatic
BRAF
mutations
have
recently
been
identified
in
these
patients
.
Historically
,
the
literature
regarding
the
management
of
Erdheim-
Chester
disease
consisted
of
case
reports
and
small
case
series
with
anecdotal
therapeutic
responses
to
agents
including
,
but
not
limited
to
,
cytotoxic
chemotherapy
,
bone
marrow
transplantation
,
cladribine
,
corticosteroids
,
IFN-α
,
the
BCR
-ABL
/
KIT
inhibitor
imatinib
mesylate
,
the
IL
-
1
receptor
antagonist
anakinra
,
the
TNF
-inhibitor
infliximab
,
and
recently
the
BRAF
inhibitor
vemurafenib
.
We
performed
a
search
of
the
literature
using
PubMed
with
the
terms
Erdheim
Chester
disease
,
without
date
limitations
,
including
case
reports
,
case
series
,
original
articles
,
and
previous
review
articles
.
In
the
absence
of
large
-scale
studies
,
experience-based
management
prevails
.
The
present
review
details
our
approach
to
the
management
of
patients
with
Erdheim-
Chester
disease
.
Diseases
Validation
Diseases presenting
"experience-based management prevails"
symptom
erdheim-chester disease
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