rdf:type |
|
lifeskim:mentions |
umls-concept:C0012544,
umls-concept:C0021760,
umls-concept:C0087111,
umls-concept:C0206015,
umls-concept:C0229671,
umls-concept:C0243127,
umls-concept:C0262950,
umls-concept:C0441889,
umls-concept:C0443331,
umls-concept:C0597357,
umls-concept:C0878675,
umls-concept:C1749467,
umls-concept:C2267018
|
pubmed:issue |
2
|
pubmed:dateCreated |
2003-5-15
|
pubmed:abstractText |
Erdheim-Chester disease (ECD) is a rare non-Langherans form of histiocytosis characterized radiologically by symmetrical sclerosis of the metaphysis and the diaphysis of long tubular bones. Macrophages are potent interleukin-6 (IL-6) producers and elevated IL-6 serum levels have been described in pathological conditions characterized by increased bone resorption. In a patient with ECD, during the acute phase of the disease we found high serum levels of IL-6 and IL-6 soluble receptor (sIL-6R) and high levels of bone turnover markers. After 5 years of combination therapy with oral prednisone and intravenous clodronate a significant reduction in the above mentioned biological parameters was seen. We suggest that the systemic disorders present in ECD could be related to the high serum levels of IL-6 and sIL-6R. We also propose the use of bisphosphonates in the clinical management of ECD.
|
pubmed:language |
eng
|
pubmed:journal |
|
pubmed:citationSubset |
IM
|
pubmed:chemical |
|
pubmed:status |
MEDLINE
|
pubmed:issn |
0392-856X
|
pubmed:author |
|
pubmed:issnType |
Print
|
pubmed:volume |
21
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
232-6
|
pubmed:dateRevised |
2004-11-17
|
pubmed:meshHeading |
pubmed-meshheading:12747282-Anti-Inflammatory Agents,
pubmed-meshheading:12747282-Antimetabolites,
pubmed-meshheading:12747282-Biological Markers,
pubmed-meshheading:12747282-Bone Remodeling,
pubmed-meshheading:12747282-Clodronic Acid,
pubmed-meshheading:12747282-Diphosphonates,
pubmed-meshheading:12747282-Erdheim-Chester Disease,
pubmed-meshheading:12747282-Humans,
pubmed-meshheading:12747282-Interleukin-6,
pubmed-meshheading:12747282-Male,
pubmed-meshheading:12747282-Middle Aged,
pubmed-meshheading:12747282-Prednisone,
pubmed-meshheading:12747282-Receptors, Interleukin-6,
pubmed-meshheading:12747282-Treatment Outcome
|
pubmed:articleTitle |
Biochemical markers of bone turnover, serum levels of interleukin-6/interleukin-6 soluble receptor and bisphosphonate treatment in Erdheim-Chester disease.
|
pubmed:affiliation |
Department of Clinical and Experimental Medicine, Federico II University Medical School, Naples, Italy. nunziata@unina.it
|
pubmed:publicationType |
Journal Article,
Case Reports
|