Langerhans cell histiocytosis (LCH): treatment

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Langerhans cell histiocytosis (LCH): treatment. Topical steroids, Topical tacrolimus, Topical nitrogen mustard. Fully referenced neurology checklist.

Treatment of skin lesions

  • Topical steroids
  • Topical tacrolimus
  • Topical nitrogen mustard
  • Topical PUVA
  • Oral methotrexate
  • Oral hydroxyurea
  • Thalidomide

Treatment of single organ lung lesions

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Treatment of multifocal bone lesions

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Treatment of multifocal skin lesions

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Treatment of multi-organ disease

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Treatment of neurodegenerative symptoms

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Other treatments

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Investigational treatments

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Treatments to avoid

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Synonym

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References

  1. Satter EK, High WA. Langerhans cell histiocytosis: a review of the current recommendations of the Histiocyte Society. Pediatr Dermatol 2008; 25:291-295.
  2. Leung AKC, Lam JM, Leong KF. Childhood Langerhans cell histiocytosis: a disease with many faces. World J Pediatr 2019; 15:536-545.
  3. Girschikofsky M, Arico M, Castillo D, et al. Management of adult patients with Langerhans cell histiocytosis: recommendations from an expert panel on behalf of Euro-Histio-Net.Orphanet J Rare Dis 2013; 8:72.
  4. Goyal G, Tazi A, Go RS, et al. International expert consensus recommendations for the diagnosis and treatment of Langerhans cell histiocytosis in adults. Blood 2022; 139:2601-2621.
  5. Donadieu J, Chalard F, Jeziorski E. Medical management of Langerhans cell histiocytosis from diagnosis to treatment. Expert Opin Pharmacother 2012; 13:1309-1322.

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