Logo image
Treatment of Refractory Langerhans Cell Histiocytosis (LCH) With a Combination of 2-Chlorodeoxyadenosine and Cytosine Arabinoside
Journal article   Peer reviewed

Treatment of Refractory Langerhans Cell Histiocytosis (LCH) With a Combination of 2-Chlorodeoxyadenosine and Cytosine Arabinoside

Nataly Apollonsky and Jeffrey M. Lipton
Journal of pediatric hematology/oncology, v 31(1), 53
01 Jan 2009
PMID: 19125089

Abstract

Life Sciences & Biomedicine Science & Technology Hematology Oncology Pediatrics
The combination of 2-chlorodeoxyadenosine (2-CDA) and cytosine arabino-side (Ara-C) has been shown to be effective ill children with refractory Langerhans cell histiocytosis (LCH) We have treated 5 patients with recurrent LCH with 2-CDA/Ara-C chemotherapy and closely followed immune and hematopoietic function. These patients display a decline in the absolute CD4, CDS. and natural killer cell number, decrease in the CD4/CD8 ratio. Septic events. including pneumocystis Infection were present after most of-the treatment courses (15/21). These data suggest that 2-CDA Ara-C. should be considered in resistant and relapsed pediatric patients with LCH with high-risk multiorgan involvement. Consequent profound prolonged combined immune deficiency and myelosupression should he anticipated.

Metrics

6 Record Views
19 citations in Scopus

Details

UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#3 Good Health and Well-Being

InCites Highlights

Data related to this publication, from InCites Benchmarking & Analytics tool:

Web of Science research areas
Hematology
Oncology
Pediatrics
Logo image