Abstract
Langerhans cell histiocytosis (LCH) is a rare disease, probably an atypical myeloproliferative syndrome, with variable clinical presentation and behavior. In this report, we focus on bone involvement by LCH and treatment with zoledronic acid in six patients as they progressed after chemotherapy and radiotherapy. Zoledronic acid appeared safe and produced significant relief in pain.
Similar content being viewed by others
References
Arceci RJ (2002) Langerhans cell histiocytosis in children and adults: pathogenesis, clinical manifestations, and treatment. Hematology (Am Soc Hematol Educ Program) 1:297–304
Histiocytosis Association of America. http://www.histio.org. Cited July 2007
Gadner H, Grois N, Arico M, Broadbent V, Ceci A, Jakobson A, Komp D, Michaelis J, Nicholson S, Pötschger U, Pritchard J, Ladisch S, Histiocyte Society (2001) A randomized trial of treatment for multisystem Langerhans cell histiocytosis. Pediatrics 138:728–734
Baumgartner I, von Hochstetter A, Baumert B, Luetolf U, Follath F (1997) Langerhans’-cell histiocytosis in adults. Med Pediatr Oncol 28:9–14
Montella L, Insabato L, Palmieri G (2004) Imatinib mesylate for cerebral Langerhans’-cell histiocytosis. N Engl J Med 351:1034–1035
Lau LM, Stuurman K, Weitzman S (2008) Skeletal Langerhans cell histiocytosis in children: permanent consequences and health-related quality of life in long-term survivors. Pediatr Blood Cancer 50(3):607–612
García de Marcos JA, Ferrer AD, Granados FA, Masera JJR, Sánchez GB, Ortiz AIR, Calderón Bohórquez JM, Salas BV (2007) Langerhans cell histiocytosis in the maxillofacial area in adults. Report of three cases. Med Oral Patol Oral Cir Bucal 12:E145–E150
Arzoo K, Sadeghi S, Pullarkat V (2001) Pamidronate for bone pain from osteolytic lesions in Langerhans’-cell histiocytosis. N Engl J Med 345:225
Farran RP, Zaretski E, Egeler RM (2001) Treatment of Langerhans cell histiocytosis with pamidronate. Pediatr Hematol Oncol 23:54–56
Kamizono J, Okada Y, Shirahata A, Tanaka Y (2002) Bisphosphonate induces remission of refractory osteolysis in langerhans cell histiocytosis. J Bone Miner Res 17:1926–1928
Coleman RE (2004) Bisphosphonates: clinical experience. Oncologist 9(suppl 4):14–27
Green JR (2004) Bisphosphonates: preclinical review. Oncologist 9(suppl 4):3–13
Egeler RM, Favara BE, van Meurs M, Laman JD, Claassen E (1999) Differential in situ cytokine profiles of Langerhans-like cells and T cells in Langerhans cell histiocytosis: abundant expression of cytokines relevant to disease and treatment. Blood 94:4195–4201
Author information
Authors and Affiliations
Corresponding authors
About this article
Cite this article
Montella, L., Merola, C., Merola, G. et al. Zoledronic acid in treatment of bone lesions by Langerhans cell histiocytosis. J Bone Miner Metab 27, 110–113 (2009). https://doi.org/10.1007/s00774-008-0001-2
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00774-008-0001-2