罕见病知识库 RareSeen

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。

  • 2026-07
    Local disease control in patients with Erdheim-Chester disease treated with external beam radiation therapy
    British journal of haematology · DOI · Europe PMC
  • 2026-07综述
    Cerebrovascular involvement in Erdheim-Chester disease: a case report and systematic literature review
    Journal of clinical neuroscience : official journal of the Neurosurgic · DOI · Europe PMC
  • 2026-07
    Erdheim-Chester Disease Presenting as Optic Neuritis: A Case Report and Review of the Literature
    Ophthalmic plastic and reconstructive surgery · DOI · Europe PMC
  • 2026-07
    Erdheim-Chester Disease Presenting as a Subdural Hematoma
    The Canadian journal of neurological sciences. Le journal canadien des · DOI · Europe PMC
  • 2026-07
    Clinical utility of copeptin in histiocytosis-associated arginine vasopressin deficiency: a report of three cases
    Annals of hematology · DOI · Europe PMC
  • 2026-07病例报告
    Massive bilateral perirenal infiltration in Erdheim-Chester disease
    Lancet (London, England) · DOI · Europe PMC
  • 2026-07
    Diagnostic impact of 18F-FDG PET/MRI over PET/CT in histiocytoses: a prospective comparative study
    European journal of nuclear medicine and molecular imaging · DOI · Europe PMC
  • 2026-07病例报告
    Monocytosis and Clonal Hematopoiesis in Peripheral Blood as Indicators of Myeloid Neoplasm in Erdheim-Chester Disease
    Clinical laboratory · DOI · Europe PMC
  • 2026-06
    Clinico-Pathologic Features of Adult Erdheim-Chester Disease in South Korea: A Multicenter Retrospective Study (KCSG LY22-15)
    Cancer research and treatment · DOI · Europe PMC
  • 2026-06综述
    Abdominal manifestations of multisystem diseases: a pattern-based imaging review
    Abdominal radiology (New York) · DOI · Europe PMC
  • 2026-06开放获取
    IgG4-related inflammatory pseudotumor presenting with refractory seizures: a diagnostic pitfall
    Arquivos de neuro-psiquiatria
  • 2026-06
    Glomeruloid haemangioma in Erdheim-Chester disease: An atypical skin manifestation associated with elevated vascular endothelial growth factor-A levels
    British journal of haematology · DOI · Europe PMC
  • 2026-06
    Diagnostic delay in histiocytic neoplasms and its association with local resource deprivation
    Haematologica · DOI · Europe PMC
  • 2026-06开放获取
    The Challenge of Differentiating Mixed Histiocytosis: A Case Report
    Case reports in hematology · DOI · Europe PMC
  • 2026-06
    Outcome of treatment with trametinib in adults with histiocytic neoplasms in the United Kingdom
    British journal of haematology · DOI · Europe PMC
  • 2026-06综述
    Cardiovascular Involvement in Erdheim-Chester Disease Presenting as Pericardial Tamponade: A Case Report and Multimodality Imaging Review
    Journal of clinical medicine · DOI · Europe PMC
  • 2026-06病例报告开放获取
    Rosai-Dorfman disease with &lt;i&gt;MAP2K1&lt;/i&gt; mutation: therapeutic response to MEK inhibition after failure of conventional therapy
    Oxford medical case reports · DOI · Europe PMC
  • 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
    Frontiers in medicine · DOI · Europe PMC
  • 2026-06病例报告开放获取
    Pediatric orbital IgG4-related disease: A case series
    American journal of ophthalmology case reports · DOI · Europe PMC
  • 2026-06病例报告开放获取
    Extranodal Rosai-Dorfman disease with bilateral renal involvement: A diagnostic challenge
    Radiology case reports · DOI · Europe PMC

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。

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2017-02-27
    Treatment 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NCT04198818
    A Study to Evaluate the Safety, Tolerability and Pharmacokinetics of HH2710 in Patient With Advanced Tumors
    I 期、II 期 · 干预性 · 2020/01/07Haihe Biopharma Co., Ltd.
    中国研究中心 1 个:Shanghai
  • 状态未知NCT05092815
    The Efficacy and Safety of HLX208 in Adult Langerhans Cell Histiocytosis (LCH) and Erdheim-Chester Disease (ECD) With BRAF V600E Mutation
    II 期 · 干预性 · 2021/12/06Shanghai Henlius Biotech
    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。

美国8英国3意大利2法国1阿根廷1加拿大1捷克1德国1荷兰1波兰1西班牙1

共 11 项。

  • 招募中NCT07440290
    DETERMINE Trial Treatment Arm 07: Dabrafenib in Combination With Trametinib in Adult, Paediatric and Teenage/Young Adult Patients With BRAF V600 Mutation-Positive Cancers.
    II 期、III 期 · 干预性 · 2026/04/01Cancer Research UK
    英国
  • 尚未开始招募NCT07173010
    Pediatric Arthropathy Beyond Inflammation: Clinical Spectrum and Diagnostic Approach at Assiut University Children Hospital
    观察性 · 2025/09Assiut University
  • 招募中NCT06712810
    Q702 for the Treatment of Patients With Hematologic Malignancies
    I 期 · 干预性 · 2025/08/27Mayo Clinic
    美国
  • 招募中NCT07454343
    ECD-Score: a Study on Erdheim-Chester Disease
    观察性 · 2024/12/23Meyer Children's Hospital IRCCS
    法国、意大利、英国、美国
  • 招募中NCT05768178
    DETERMINE Trial Treatment Arm 05: Vemurafenib in Combination With Cobimetinib in Adult Patients With BRAF Positive Cancers.
    II 期、III 期 · 干预性 · 2023/03/01Cancer Research UK
    英国
  • 招募中NCT05915208
    Histiocytic Disorder Follow-up Study
    观察性 · 2022/09/01University of Alabama at Birmingham
    美国
  • 招募中NCT05093335
    In-Human CXCR4 Imaging of Hematologic and Solid Tumors Using [68Ga]-Pentixafor-PET
    早期 I 期 · 干预性 · 2021/10/01Memorial Sloan Kettering Cancer Center
    美国
  • 招募中NCT04079179
    Cobimetinib in Refractory Langerhans Cell Histiocytosis (LCH), and Other Histiocytic Disorders
    II 期 · 干预性 · 2021/04/19Carl Allen
    美国
  • 招募中NCT03990428
    Supportive Care Needs of Caregivers of People With Erdheim-Chester Disease and Other Histiocytic Diseases
    观察性 · 2019/06/14Memorial Sloan Kettering Cancer Center
    美国
  • 招募中NCT03329274
    Registry for Patients With Erdheim-Chester Disease and Other Histiocytoses
    观察性 · 2017/10/26Memorial Sloan Kettering Cancer Center
    美国
  • 招募中NCT02285582
    International Rare Histiocytic Disorders Registry (IRHDR)
    观察性 · 2014/10The Hospital for Sick Children
    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

发现这一页有错误?告诉我 · 邮件主题会自动带上本页的 ORPHA 编号

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)