Wilke A
Z Erkr Atmungsorgane. 1985;165(2):171-7.
Reported is a clinical follow-up study in 15 patients with Histiocytosis X. The time of observation varied between 2 and 17 years. In centre of analysis are results of lung function tests and radiological findings. The analysis allows the following conclusions: Classification of patients in early stage and late stage has great prognostic importance. Long-term prednisone therapy in the early stage prevents progression of disease in most cases. In spite of consequent therapy in single cases recurrences and transition in late stage have been observed. Prognosis in patients in late stage is worse than in patients in early stage. In these cases the long-term prednisone therapy is not able to prevent progression of the disease.
报告了一项对15例组织细胞增多症X患者的临床随访研究。观察时间为2至17年。分析的核心是肺功能测试结果和影像学检查结果。分析得出以下结论:将患者分为早期和晚期对预后具有重要意义。早期长期使用泼尼松治疗在大多数情况下可预防疾病进展。尽管个别病例进行了后续治疗,但仍观察到复发和疾病进展至晚期。晚期患者的预后比早期患者差。在这些病例中,长期使用泼尼松治疗无法预防疾病进展。