Longitudinal, natural history study reveals the disease burden of idiopathic multicentric Castleman disease

Idiopathic multicentric Castleman disease (iMCD) is a rare hematologic disorder with heterogeneous presentations ranging from moderate constitutional symptoms to life-threatening multiorgan system involvement. iMCD patients present with vastly different clinical subtypes, with some patients demonstrating thrombocytopenia, anasarca, fever/elevated C-reactive protein, reticulin fibrosis/renal failure, and organomegaly (TAFRO) and others demonstrating more mild/moderate symptoms with potential for severe disease (not otherwise specified, NOS). Due to its rarity and heterogeneity, the natural history and long-term burden of iMCD are poorly understood. We investigated real-world medical data from ACCELERATE, a large natural history registry of Castleman disease patients, to better characterize the long-term disease burden experienced by these patients. We found that iMCD-TAFRO patients face significant hospitalization burden, requiring more time in the hospital than iMCD-NOS patients during the year surrounding diagnosis (median [IQR] 36 [18, 61] days vs. 0 [0, 4] days; p.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - year:2024

Enthalten in:

Haematologica - (2024) vom: 11. Jan.

Sprache:

Englisch

Beteiligte Personen:

Bustamante, Mateo Sarmiento [VerfasserIn]
Pierson, Sheila K [VerfasserIn]
Ren, Yue [VerfasserIn]
Bagg, Adam [VerfasserIn]
Brandstadter, Joshua D [VerfasserIn]
Srkalovic, Gordan [VerfasserIn]
Mango, Natalie [VerfasserIn]
Alapat, Daisy [VerfasserIn]
Lechowicz, Mary Jo [VerfasserIn]
Li, Hongzhe [VerfasserIn]
Van Rhee, Frits [VerfasserIn]
Lim, Megan S [VerfasserIn]
Fajgenbaum, David C [VerfasserIn]

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Anmerkungen:

Date Revised 26.03.2024

published: Print-Electronic

Citation Status Publisher

doi:

10.3324/haematol.2023.283603

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM366961136