Follow up after mustine treatment in 20 children with LCH
Patient no. | Follow up after start of mustine (mth) | Current medication | Disease state (involved organ if not skin) | Residual defects | Skin findings |
1 | 18 | M | SD | — | Draining skin sinuses, scars |
2 | 99 | DDAVP | NAD | DI | Scars |
3 | 57 | 0 | NAD | — | Postinflammatory hyperpigmentation |
4 | 53 | DDAVP | NAD | DI | — |
5 | 28 | 0 | NAD | — | Scars, mild scaling |
6 | 176 | P* | PD | — | New lesions (buttocks, ears), scars |
7 | 33 | DDAVP, GH | RD | DI, GHD | Scalp rash |
8 | 159 | DDAVP | RD | DI | Mild scalp rash |
9 | 176 | 0 | NAD | — | — |
10 | 34 | VB, P† | PD (bone) | — | — |
11 | 44 | P†, GH | PD (GI) | GHD, deafness | — |
12 | 72 | DDAVP, GH | RD | DI, GHD | Mild scalp rash |
13 | 191 | DDAVP, GH | NAD | DI, GHD | — |
14 | 171 | DDAVP, GH | NAD | DI, GHD | — |
15 | 141 | 0 | NAD | — | — |
16 | 169 | DDAVP | NAD | DI, GHD, hydrocephalus | Scars |
17 | 149 | 0 | NAD | DI, GHD, deafness | — |
18 | 48 | Cyt | PD (BM, LN) | Died | Persistent lesions (scalp, ears, gingiva), scars |
19 | 156 | 0 | RD | Deafness | Mild scalp rash, faint scars |
20 | 17 | 0 | RD | — | Mild scalp rash |
M, mustine; P*, low dose prednisolone on alternate days; P†, 10 mg prednisolone daily; DDAVP, desamino-desarginino-vasopressin; GH, growth hormone. NAD, non-active disease; RD, regressing disease; SD, stable disease; PD, progressive disease. BM, bone marrow; LN, lymph node; GI, gastrointestinal involvement; DI, diabetes insipidus; GHD, growth hormone deficiency.