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Correspondence
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Volume 351:1034-1035 September 2, 2004 Number 10
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Imatinib Mesylate for Cerebral Langerhans'-Cell Histiocytosis

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To the Editor: Langerhans'-cell histiocytosis (LCH) is a rare disorder characterized by tissue infiltrates of CD1a+ Langerhans' cells, eosinophils, neutrophils, macrophages, and lymphocytes. Systemic treatments for refractory LCH are unsatisfactory and usually toxic. We report the use of imatinib mesylate to control parenchymal brain involvement in a patient with multisystem LCH.

A 37-year-old woman was hospitalized because of severe headache and visual impairment after fainting. She had a 14-year-history of LCH, with involvement of bone and lungs, and diabetes insipidus and had previously been treated with thymic peptides, chemotherapy, and radiotherapy of the occipital bone. Neurologic examination revealed mydriasis, slow . . . [Full Text of this Article]


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