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A multifocal, multisystem form of Langerhans-cell histiocytosis. There is involvement of multiple organ systems including the bones, skin, liver, spleen, and lymph nodes. Patients are usually infants presenting with fever, hepatosplenomegaly, lymphadenopathy, bone and skin lesions, and pancytopenia.
Features include: Encephalopathy, Pulmonary infiltrates, Pallor, and Seborrheic dermatitis and 11 more.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Digestive system | 3 | Abdominal distention, Hepatosplenomegaly, Jaundice |
Blood and immune system |
Biomarker and diagnostic research for letterer-Siwe disease has been reported in the published literature.
14 clinical trials registered, 9 recruiting. Interventions under study include drug therapy, other interventions, procedural interventions, and biologic therapy. Pipeline includes 3 PHASE3, 8 PHASE2. Research is sponsored by a mix of industry and academic institutions.
NCT ID | Title | Phase | Sponsor | Status |
|---|---|---|---|---|
[NCT04665674](https://clinicaltrials.gov/study/NCT04665674) |
Data assembled from 6 of 12 sources · Last updated Sep 20, 2026, 11:21 AM UTC
Online Mendelian Inheritance in Man
European rare disease database
3 |
Low red blood cell count (anemia), Low platelet count (thrombocytopenia), Decreased total neutrophil count |
Brain and nerves | 2 | Encephalopathy, Irritability |
Lungs and breathing | 2 | Pulmonary infiltrates, Dyspnea |
Skin | 1 | Seborrheic dermatitis |
Bones and joints | 1 | Bone and joint problems (abnormality of the skeletal system) |
Metabolism | 1 | Fever |
Adult Pulmonary Langerhans Cell Histiocytosis: a National Registry-based Prospective Cohort Study |
— |
Assistance Publique - Hôpitaux de Paris |
RECRUITING |
[NCT04943211](https://clinicaltrials.gov/study/NCT04943211) | Determination of Molecular Status, the Efficacy and Safety of Fluorodeoxyglucose in PET-CT Imaging | PHASE3 | Anna Raciborska | RECRUITING |
[NCT05997602](https://clinicaltrials.gov/study/NCT05997602) | To Evaluate the Efficacy, Safety, and PK Characteristics of FCN-159 in Pediatric Patients With Refractory/Recurrent LCH | PHASE2 | Shanghai Fosun Pharmaceutical Industrial Development Co. Ltd. | RECRUITING |
[NCT04943224](https://clinicaltrials.gov/study/NCT04943224) | Optimization of the Time and Dosage of Trametinib in BRAF Negative Juvenile Patients | PHASE2 | Anna Raciborska | RECRUITING |
[NCT05915208](https://clinicaltrials.gov/study/NCT05915208) | Histiocytic Disorder Follow-up Study | — | University of Alabama at Birmingham | RECRUITING |
25 publications have been identified in PubMed for letterer-Siwe disease. Research spans Case Report / Case Series (56%), Clinical Trial Publication (16%), and Review / Meta-Analysis (12%).
Research Type | Count | % of Total |
|---|---|---|
Patient case studies | 14 | 56% |
Clinical study results | 4 | 16% |
Research summaries | 3 | 12% |
Testing and diagnosis research | 2 | 8% |
Disease patterns and progression | 2 | 8% |
Arevalo MVPN (2026). [PMID: 42282927](https://pubmed.ncbi.nlm.nih.gov/42282927/). *JAAD Case Rep*. [Case Report / Case Series]
Xiao D (2026). [PMID: 41979620](https://pubmed.ncbi.nlm.nih.gov/41979620/). *Clin Lab*. [Case Report / Case Series]
Khalak S (2026). [PMID: 41820933](https://pubmed.ncbi.nlm.nih.gov/41820933/). *BMC Pediatr*. [Diagnostic / Biomarker]
Gettleman B (2026). [PMID: 41976879](https://pubmed.ncbi.nlm.nih.gov/41976879/). *J Clin Med*. [Diagnostic / Biomarker]
Alwan M (2026). [PMID: 41736288](https://pubmed.ncbi.nlm.nih.gov/41736288/). *J Laryngol Otol*. [Review / Meta-Analysis]
Zhuang L (2026). [PMID: 41836254](https://pubmed.ncbi.nlm.nih.gov/41836254/). *Front Oncol*. [Case Report / Case Series]
Kaino A (2026). [PMID: 41553688](https://pubmed.ncbi.nlm.nih.gov/41553688/). *Int J Hematol*. [Epidemiology / Natural History]
Uppuluri R (2026). [PMID: 41834326](https://pubmed.ncbi.nlm.nih.gov/41834326/). *Pediatr Blood Cancer*. [Clinical Trial Publication]
Sy JA (2026). [PMID: 42137558](https://pubmed.ncbi.nlm.nih.gov/42137558/). *Front Pediatr*. [Clinical Trial Publication]
Hacker P (2026). [PMID: 42164211](https://pubmed.ncbi.nlm.nih.gov/42164211/). *Cureus*. [Case Report / Case Series]