Fifteen years of treatment with intravenous immunoglobulin in central nervous system Langerhans cell histiocytosis.

Acta Paediatr

Childhood Cancer Research Unit, Department of Women's and Children's Health, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden.

Published: July 2011

Aim: There is currently no well-accepted therapy for central nervous system Langerhans cell histiocytosis (CNS-LCH), a neuroinflammatory disease clinically characterized by often progressive, neurological symptoms including ataxia, dysarthria, dysphagia, hypertonicity, intellectual impairment and behavioural abnormalities. We applied immunomodulative/anti-inflammatory treatment on a patient with progressive CNS-LCH disease.

Method: Intravenous immunoglobulin (IVIG) was administered monthly for 15 years to a patient with severe, image-verified neurodegenerative CNS-LCH.

Results: During the IVIG treatment, the neurological deterioration initially appeared to be haltered, but over time there was still some deterioration.

Conclusions: IVIG may be beneficial in partly haltering CNS-LCH neurodegeneration, but further studies are needed.

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http://dx.doi.org/10.1111/j.1651-2227.2010.02125.xDOI Listing

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