Evidence map›Paper›PMID 38841707›Full record

ArticleEClinicalMedicine2024

Long-term outcome and prognosis of mixed histiocytosis (Erdheim-Chester disease and Langerhans Cell Histiocytosis).

Francesco Pegoraro, Matthias Papo, Fleur Cohen-Aubart, Francesco Peyronel, Gianmarco Lugli, Irene Trambusti, Gildas Baulier, Mathilde de Menthon, Tanguy Le Scornet, Eric Oziol and 27 more

Abstract read
In one paragraph

Article in EClinicalMedicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–field-weighted citation impact
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

18 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. When Erdheim-Chester Disease Reaches the Pectoral Muscle.European journal of case reports in internal medicine · 2026
    Article
  10. Article
  11. Review
  12. Application of pretreatmentAnnals of hematology · 2025
    Article
  13. Article
  14. Article
  15. Article
  16. Article
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  18. 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

37 authors.

Francesco PegoraroSorbonne University, Internal Medicine Department 2, Institut E3M, French Reference Centre for Histiocytosis, Pitié-Salpȇtrière Hospital, CIMI INSERM-UMRS 1135, Assistance Publique-Hôpitaux de Paris, Paris, France.
Matthias PapoSorbonne University, Internal Medicine Department 2, Institut E3M, French Reference Centre for Histiocytosis, Pitié-Salpȇtrière Hospital, CIMI INSERM-UMRS 1135, Assistance Publique-Hôpitaux de Paris, Paris, France.
Fleur Cohen-AubartSorbonne University, Internal Medicine Department 2, Institut E3M, French Reference Centre for Histiocytosis, Pitié-Salpȇtrière Hospital, CIMI INSERM-UMRS 1135, Assistance Publique-Hôpitaux de Paris, Paris, France.
Francesco PeyronelDepartment of Experimental and Clinical Medicine, University of Florence, Florence, Italy.
Gianmarco LugliRare Disease Center, Meyer Children's Hospital IRCCS, Florence, Italy.
Irene TrambustiHematology and Oncology Department, Meyer Children's Hospital IRCCS, Florence, Italy.
Gildas BaulierInternal Medicine and Clinical Immunology Department, Périgueux University Hospital, Périgueux, France.
Mathilde de MenthonParis-Saclay University, Internal Medicine and Clinical Immunology Department, Bicetre Hospital, Assistance Publique - Hôpitaux de Paris, Le Kremlin Bicêtre, France.
Tanguy Le ScornetInternal Medicine Department, Hotel Dieu, Nantes University Hospital, Nantes, France.
Eric OziolInternal Medicine Department, Béziers Hospital, Béziers, France.
Nicole Ferreira-MaldentInternal Medicine Department, University Hospital of Tours, Tours, France.
Olivier HermineHematology Department, Hôpital Necker - Enfants Malades, Assistance Publique-Hôpitaux de Paris, Paris, France.
Benoit FaucherInternal Medicine Department, La Timone Hospital, Assistance Publique-Hôpitaux de Marseille, Marseille, France.
Dirk KoschelInternal Medicine and Pneumology Department, Fachkrankenhaus Coswig, Lung Center, Coswig and Medical Department I, Division of Pneumology, University Hospital Carl Gustav Carus, TU Dresden, Dresden, Germany.
Nicole StraetmansHematology Department, University Hospital Saint-Luc, Brussels, Belgium.
Noémie AbisrorInternal Medicine Department, Saint Antoine Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France.
Benjamin TerrierInternal Medicine Department, Referral Center for Rare Autoimmune and Systemic Diseases, Cochin Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France.
François LifermannInternal Medicine Department, Dax University Hospital, Dax, France.
Jerome RazanamaheryInternal Medicine and Clinical Immunology Department, Dijon University Hospital, Dijon, France.
Yves AllenbachInternal Medicine Department, Sorbonne University, INSERM UMRS 974, Pitié-Salpêtrière Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France.
Jeremy KeraenInternal Medicine and Immunology Department, Cornouaille Hospital Center, Quimper, France.
Sophie BulifonParis-Saclay University, Faculty of Medicine, Le Kremlin-Bicêtre, France.
Baptiste HervierInternal Medicine Department, Saint Louis Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France.
Annamaria BuccolieroPathology Department, Meyer Children's Hospital IRCCS, Florence, Italy.
Frederic CharlottePathology Department, Pitié-Salpêtrière Hospital, Sorbonne University, Assistance Publique-Hôpitaux de Paris, Paris, France.
Quentin MonzaniPolyvalent and Oncologic Radiology Department-Musculoskeletal Unit, Pitié-Salpêtrière Hospital, Paris, France.
Samia BoussouarCardiovascular and Thoracic Imaging Unit, Pitié-Salpêtrière Hospital, Assistance Publique-Hôpitaux de Paris, Institute of Cardiometabolism and Nutrition (ICAN), Paris, France.
Natalia ShorNeuro-Radiology Department, Pitié-Salpêtrière Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France.
Annalisa TondoHematology and Oncology Department, Meyer Children's Hospital IRCCS, Florence, Italy.
Stephane BareteSorbonne University, Dermatology Unit, Pitié-Salpêtrière Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France.
Ahmed IdbaihSorbonne University, Neuro-Oncology Department, Paris Brain Institute - ICM, Inserm, CNRS, Pitié-Salpêtrière Hospital, DMU Neurosciences, Assistance Publique-Hôpitaux de Paris, Paris, France.
Abdellatif TaziUFR de Médecine, Paris Cité University, Paris, France.
Elena SieniHematology and Oncology Department, Meyer Children's Hospital IRCCS, Florence, Italy.
Zahir AmouraSorbonne University, Internal Medicine Department 2, Institut E3M, French Reference Centre for Histiocytosis, Pitié-Salpȇtrière Hospital, CIMI INSERM-UMRS 1135, Assistance Publique-Hôpitaux de Paris, Paris, France.
Jean-François EmileEA4340 BECCOH, Versailles SQY University, Pathology Department, Ambroise Paré Hospital, Assistance Publique-Hôpitaux de Paris, Boulogne, France.
Augusto VaglioNephrology and Dialysis Unit, Meyer Children's Hospital IRCCS, Florence, Italy.
Julien HarocheSorbonne University, Internal Medicine Department 2, Institut E3M, French Reference Centre for Histiocytosis, Pitié-Salpȇtrière Hospital, CIMI INSERM-UMRS 1135, Assistance Publique-Hôpitaux de Paris, Paris, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Erdheim-Chester disease (ECD) is a rare histiocytosis that may overlap with Langerhans Cell Histiocytosis (LCH). This "mixed" entity is poorly characterized. We here investigated the clinical phenotype, outcome, and prognostic factors of a large cohort of patients with mixed ECD-LCH. Methods: This retrospective study was performed at two referral centers in France and Italy (Pitié-Salpêtrière Hospital, Paris; Meyer Children's Hospital, Florence). We included children and adults with ECD diagnosed in 2000-2022 who had biopsy-proven LCH, available data on clinical presentation, treatment and outcome, and a minimum follow-up of one year. Outcomes included differences in clinical presentation and survival between mixed ECD-LCH and isolated ECD; we also investigated response to treatments and predictors of survival in the mixed cohort. Survival was analyzed using the Kaplan-Maier method and differences in survival with the long-rank test. Cox regression models were used to evaluate the potential impact of age and gender on survival and to identify predictors of non-response and survival. Findings: Out of a cohort of 502 ECD patients, 69 (14%) had mixed ECD-LCH. Compared to isolated ECD, mixed ECD-LCH occurred more frequently in females (51 Interpretation: Mixed ECD-LCH is a multisystem disease driven by the Funding: None.

Indexed as

BRAFErdheim-Chester diseaseHistiocytosisLangerhansMixed histiocytosisPediatric histiocytosis

Identifiers

PMID38841707
PMCPMC11152896

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