Erdheim-Chester病
Erdheim-Chester disease
定义 英文原文(暂无中文)
Erdheim-Chester disease (ECD), a non-Langerhans form of histiocytosis, is a multisystemic disease characterized by various manifestations such as skeletal involvement with bone pain, exophthalmos, diabetes insipidus, renal impairment and central nervous system (CNS) and/or cardiovascular involvement.
基本事实
- 遗传方式
- 不适用
- 发病年龄
- 成年期
- 患病率
- <1 / 1 000 000
临床表型 41
极常见 99–80%16
- 干骺端形态异常 HP:0000944
- 骨骺形态异常 HP:0005930
- 骨痛 HP:0002653
- 尿崩症 HP:0000873
- 排尿困难 HP:0100518
- 疲乏 HP:0012378
- 发热 HP:0001945
- 多汗症 HP:0000975
- 低促性腺激素性性腺功能减退症 HP:0000044
- 骨密度增加 HP:0011001
- 骨质溶解 HP:0002797
- 骨髓炎 HP:0002754
- 烦渴 HP:0001959
- 眼球突出 HP:0000520
- 体重减轻 HP:0001824
- 睑黄瘤 HP:0001114
常见 79–30%5
- 腹痛 HP:0002027
- 主动脉瓣形态异常 HP:0001646
- 肾积水 HP:0000126
- 关节肿胀 HP:0001386
- 腹膜后纤维化 HP:0005200
偶见 29–5%20
- 小脑形态异常 HP:0001317
- 心包形态异常 HP:0001697
- 肺间质形态异常 HP:0006530
- 免疫系统功能异常 HP:0010978
- 贫血 HP:0001903
- 共济失调 HP:0001251
- 缺血性坏死 HP:0010885
- 充血性心力衰竭 HP:0001635
- 咳嗽 HP:0012735
- 构音障碍 HP:0001260
- 呼吸困难 HP:0002094
- 反射亢进 HP:0001347
- 恶心和呕吐 HP:0002017
- 眼球震颤 HP:0000639
- 胸腔积液 HP:0002202
- 上睑下垂 HP:0000508
- 肺纤维化 HP:0002206
- 肾功能不全 HP:0000083
- 皮疹 HP:0000988
- 视觉障碍 HP:0000505
近两年的全球研究 467L2
2024/08 起在 Europe PMC 检索所得,按发表时间倒序显示最近 20 篇。标题未译成中文——自动翻译需要接入 LLM 服务,尚未引入。
- 2026-07Local disease control in patients with Erdheim-Chester disease treated with external beam radiation therapy
- 2026-07综述Cerebrovascular involvement in Erdheim-Chester disease: a case report and systematic literature review
- 2026-07Erdheim-Chester Disease Presenting as Optic Neuritis: A Case Report and Review of the Literature
- 2026-07Erdheim-Chester Disease Presenting as a Subdural Hematoma
- 2026-07Clinical utility of copeptin in histiocytosis-associated arginine vasopressin deficiency: a report of three cases
- 2026-07病例报告Massive bilateral perirenal infiltration in Erdheim-Chester disease
- 2026-07Diagnostic impact of 18F-FDG PET/MRI over PET/CT in histiocytoses: a prospective comparative study
- 2026-07病例报告Monocytosis and Clonal Hematopoiesis in Peripheral Blood as Indicators of Myeloid Neoplasm in Erdheim-Chester Disease
- 2026-06Clinico-Pathologic Features of Adult Erdheim-Chester Disease in South Korea: A Multicenter Retrospective Study (KCSG LY22-15)
- 2026-06综述Abdominal manifestations of multisystem diseases: a pattern-based imaging review
- 2026-06开放获取IgG4-related inflammatory pseudotumor presenting with refractory seizures: a diagnostic pitfall
- 2026-06Glomeruloid haemangioma in Erdheim-Chester disease: An atypical skin manifestation associated with elevated vascular endothelial growth factor-A levels
- 2026-06Diagnostic delay in histiocytic neoplasms and its association with local resource deprivation
- 2026-06开放获取The Challenge of Differentiating Mixed Histiocytosis: A Case Report
- 2026-06Outcome of treatment with trametinib in adults with histiocytic neoplasms in the United Kingdom
- 2026-06综述Cardiovascular Involvement in Erdheim-Chester Disease Presenting as Pericardial Tamponade: A Case Report and Multimodality Imaging Review
- 2026-06病例报告开放获取Rosai-Dorfman disease with <i>MAP2K1</i> mutation: therapeutic response to MEK inhibition after failure of conventional therapy
- 2026-06病例报告开放获取Bilateral extensive adult-onset limbal xanthogranuloma invading the deep corneal stroma: a case report and literature review
- 2026-06病例报告开放获取Pediatric orbital IgG4-related disease: A case series
- 2026-06病例报告开放获取Extranodal Rosai-Dorfman disease with bilateral renal involvement: A diagnostic challenge
境外已获批用于本病的药物 1L2
欧盟 0 项、美国 1 项。同一药物在两地各批一次的,会分别列出。
「境外已获批」不等于「在中国能用」。中间隔着进口注册、临床急需境外新药通道、海南博鳌乐城国际医疗旅游先行区等几条路径,各有各的条件与费用。这一节能确定地告诉你的只有一件事:这个病在世界范围内已经有获得批准的药物,它叫什么名字。拿这个名字去问主治医生,是下一步最省力的做法。
药名一律保留英文原文,不作翻译——中国的药品通用名与英文名的音译经常不一致,译错会让人去找一个不存在的药。
- Zelboraf美国2017-11-06vemurafenib官方记录
已获孤儿药资格、尚未获批的在研药物(1 项)
孤儿药资格只是一种监管身份——它意味着监管机构认可这是罕见病用药并给予研发激励,不代表这个药已被证明有效,也不代表将来一定能上市。绝大多数最终不会成药。列在这里是为了看清有哪些方向正在被尝试。
- vemurafenib欧盟2017-02-27Treatment of Erdheim-Chester disease官方记录
数据来自欧洲药品管理局(EMA)的药品与孤儿药资格公开导出表,以及美国 FDA 孤儿药资格数据库。两边口径不同:欧盟一侧取的是当前状态仍为「已授权」的药品;美国一侧记录的是「曾获批准」这一事实,FDA 的公开表不追踪药物此后是否退市(例如 Relyvrio 于 2024 年撤市,表中仍记为已获批)。请以官方记录页为准。
在中国开展的临床试验 2L2
按病名在 ClinicalTrials.gov 检索、并校验研究中心含中国大陆而来。登记状态不等于现在真的能入组——务必按 NCT 号到原站核实,并与主治医生商量。
当前没有检索到登记为可入组的试验。
其他状态的试验(2 项)
- 已终止NCT04198818A Study to Evaluate the Safety, Tolerability and Pharmacokinetics of HH2710 in Patient With Advanced Tumors中国研究中心 1 个:Shanghai
- 状态未知NCT05092815The Efficacy and Safety of HLX208 in Adult Langerhans Cell Histiocytosis (LCH) and Erdheim-Chester Disease (ECD) With BRAF V600E Mutation中国研究中心 1 个:Beijing
中国境外的在招试验 11L2
这些试验在中国没有研究中心,通常无法直接报名——入组一般要求在当地居住并接受随访。列在这里是因为它另有用处:看清楚全世界正在试哪些药、做到了哪一期、由谁在做。把药名和 NCT 编号记下来去问主治医生,或据此进一步查该药是否已在境外获批、是否有拓展性用药(expanded access)通道。
共 11 项。
- 招募中NCT07440290DETERMINE Trial Treatment Arm 07: Dabrafenib in Combination With Trametinib in Adult, Paediatric and Teenage/Young Adult Patients With BRAF V600 Mutation-Positive Cancers.英国
- 尚未开始招募NCT07173010Pediatric Arthropathy Beyond Inflammation: Clinical Spectrum and Diagnostic Approach at Assiut University Children Hospital
- 招募中NCT06712810Q702 for the Treatment of Patients With Hematologic Malignancies美国
- 招募中NCT07454343ECD-Score: a Study on Erdheim-Chester Disease法国、意大利、英国、美国
- 招募中NCT05768178DETERMINE Trial Treatment Arm 05: Vemurafenib in Combination With Cobimetinib in Adult Patients With BRAF Positive Cancers.英国
- 招募中NCT05915208Histiocytic Disorder Follow-up Study美国
- 招募中NCT05093335In-Human CXCR4 Imaging of Hematologic and Solid Tumors Using [68Ga]-Pentixafor-PET美国
- 招募中NCT04079179Cobimetinib in Refractory Langerhans Cell Histiocytosis (LCH), and Other Histiocytic Disorders美国
- 招募中NCT03990428Supportive Care Needs of Caregivers of People With Erdheim-Chester Disease and Other Histiocytic Diseases美国
- 招募中NCT03329274Registry for Patients With Erdheim-Chester Disease and Other Histiocytoses美国
- 招募中NCT02285582International Rare Histiocytic Disorders Registry (IRHDR)阿根廷、加拿大、捷克、德国、意大利、荷兰、波兰、西班牙 等 9 国
外部标识与链接
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本页数据来源
- 疾病定义、同义词、基因、表型、流行病学:Orphanet(CC BY 4.0)
- 中文病名:Orphanet 中文包,冻结于 2020-06-01
- 表型中文标签:HPO 简体中文翻译(CHPO 上游成果)