Evidence map›Paper›PMID 32591646›Full record

ReviewLeukemia2020

Erdheim-Chester disease: a rapidly evolving disease model.

Francesco Pegoraro, Matthias Papo, Valerio Maniscalco, Frédéric Charlotte, Julien Haroche, Augusto Vaglio

Abstract readReview
PubMed Publisher
In one paragraph

Review in Leukemia, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
4.5field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 70 citations in OpenAlex.

  1. Article
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  11. Recent advances in therapeutic strategies of Erdheim-Chester disease.Naunyn-Schmiedeberg's archives of pharmacology · 2025
    Review
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. A rare case of Erdheim Chester disease.Radiology case reports · 2024
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 2 countries.

Francesco PegoraroDepartment of Health Sciences, University of Firenze, Firenze, Italy.ORCID http://orcid.org/0000-0002-4954-5744
Matthias PapoSorbonne University, Assistance Publique-Hôpitaux, Internal Medicine 2, Histiocytosis National Reference Centre, Pitié-Salpêtrière Hospital, Paris, France.
Valerio ManiscalcoDepartment of Health Sciences, University of Firenze, Firenze, Italy.ORCID http://orcid.org/0000-0003-3287-846X
Frédéric CharlotteService d'Anatomie Pathologique, Sorbonne Université, Assistance Publique-Hôpitaux de Paris, Hôpital Pitié-Salpêtrière, Paris, France.ORCID http://orcid.org/0000-0003-2803-6606
Julien HarocheSorbonne Université, Assistance Publique-Hôpitaux de Paris, Service de Médecine Interne 2 maladies auto-immunes et systémiques, Centre National de Références des Histiocytoses, Hôpital Pitié-Salpêtrière, Paris, France.
Augusto VaglioDepartment of Biomedical, Experimental and Clinical Sciences "Mario Serio", University of Firenze, and Nephrology and Dialysis Unit, Meyer Children's Hospital, Firenze, Italy. augusto.vaglio@unifi.it.ORCID http://orcid.org/0000-0002-3814-9172
Sorbonne Université · FRUniversity of Florence · ITCentre National de la Recherche Scientifique · FRMeyer Children's Hospital · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Erdheim-Chester disease (ECD) is a rare non-Langerhans cell histiocytosis with a putative neoplastic and inflammatory nature. The disease is driven by mutations in proto-oncogenes such as BRAF and MEK, while immune-mediated mechanisms contribute to disease development and progression. The clinical presentation of ECD is highly heterogeneous, ranging from smouldering unifocal forms to multiorgan life-threatening disease. Almost any organ can be involved, but the most common lesions include long-bone involvement, retroperitoneal fibrosis, interstitial lung disease, pericardial and myocardial infiltration, CNS, retro-orbital, and large-vessel involvement. These manifestations may mimic those of neoplastic and systemic immune-mediated diseases. Overlap with these conditions represents an emerging challenge for the clinician. A variety of treatments are efficacious for ECD, targeting both the MAPK-pathway and the immune-mediated pathomechanisms. The traditional approach is based on immunomodulatory agents (interferon-α), but recent alternatives-including anti-cytokine therapies (IL1- and TNFα-blockers) and immunosuppressants (mTOR-inhibitors)-showed promising results. However, since the detection of MAPK pathway activation in most patients and the dramatic efficacy of BRAF and MEK inhibitors, these targeted treatments represent the first-line approach in patients with severe disease forms. High rates of radiologic responses do not often mean clinical remission, especially for CNS involvement, which often results in chronic disability. This review will outline the main clinical features of ECD, with emphasis on the emerging challenges in pathogenesis and management, and on the role of recent targeted approaches.

Indexed as

Disease SusceptibilityBiomarkersBiopsyDiagnostic ImagingDisease ManagementErdheim-Chester DiseaseGenetic Predisposition to DiseaseHistiocytosisHumansImmunohistochemistryMolecular Diagnostic TechniquesMutationNeoplasmsOrgan SpecificityBiomarkers

Identifiers

PMID32591646
OpenAlexW3037441353

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.