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pubmed-article:12747282pubmed:abstractTextErdheim-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.lld:pubmed
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pubmed-article:12747282pubmed:dateRevised2004-11-17lld:pubmed
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pubmed-article:12747282pubmed:articleTitleBiochemical markers of bone turnover, serum levels of interleukin-6/interleukin-6 soluble receptor and bisphosphonate treatment in Erdheim-Chester disease.lld:pubmed
pubmed-article:12747282pubmed:affiliationDepartment of Clinical and Experimental Medicine, Federico II University Medical School, Naples, Italy. nunziata@unina.itlld:pubmed
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