Table 2

Previous reported cases of anakinra treatment of ECD

Sex, age (years)ECD localizations and previous treatmentsECD duration (years)Anakinra duration (months)CRPToleranceEfficacy
Aouba 113 F, 46 Bones, retroperitoneal, hydronephrosis, xanthelasma 25 Normalized Pruritus Disappearance of bone pain and fever 
Steroids Regression of hydronephrosis and retroperitoneal infiltration 
Zoledronic acid Normalization of bone scintigraphy 
Cladribine  
Aouba 213 M, 55 Bones, coated aorta and renal artery stenosis, retroperitoneal, hydronephrosis 26 Normalized Pain at injection sites Disappearance of bone pain and fever 
Steroids Regression of hydronephrosis 
IFN-α No improvement of scintigraphic bone uptake 
Tran14 F, 10 Bones, retroperitoneal 10 Normalized Pain at injection sites Disappearance of bone pain and fever 
Vinblastine No changes in bone lesions nor retroperitoneal infiltration 
Steroids  
IFN-α  
Aubert20 F, 32 Bones, retroperitoneal, adrenal infiltration 10 12 Normalized Slight injection sites reaction Disappearance of bone pain and fever 
Steroids Improvement of bone hypermetabolism in PET 
Vesanoid No change in retroperitoneal infiltration 
Killu22 M, 71 Right atrial mass, bilateral pleura infiltration, temporal artery infiltration Improvement of 18 FDG uptake in right atrial mass 
No prior treatment Heart MRI evaluation not done 
Courcoul23 M, 57 Bones 12 Normalized No side effects Disappearance of bone pain 
Steroids No changes in 18 FDG uptake, bone scan and bone MRI 
Pamidronate  
IFN-α  
Darstein24 M, 48 Bones, retroperitoneal, hydronephrosis, CNS Rapid decrease Gram-negative urosepsis controlled under antibiotics Improvement of neurological symptoms (not assessed by MRI) 
No prior treatment 
Cohen25 F, 43 Bones, pituitary involvement, sinuses, lichen planus NA Injection site reaction Cutaneous lesions, desmopressin need and bone pain improvement 
Sex, age (years)ECD localizations and previous treatmentsECD duration (years)Anakinra duration (months)CRPToleranceEfficacy
Aouba 113 F, 46 Bones, retroperitoneal, hydronephrosis, xanthelasma 25 Normalized Pruritus Disappearance of bone pain and fever 
Steroids Regression of hydronephrosis and retroperitoneal infiltration 
Zoledronic acid Normalization of bone scintigraphy 
Cladribine  
Aouba 213 M, 55 Bones, coated aorta and renal artery stenosis, retroperitoneal, hydronephrosis 26 Normalized Pain at injection sites Disappearance of bone pain and fever 
Steroids Regression of hydronephrosis 
IFN-α No improvement of scintigraphic bone uptake 
Tran14 F, 10 Bones, retroperitoneal 10 Normalized Pain at injection sites Disappearance of bone pain and fever 
Vinblastine No changes in bone lesions nor retroperitoneal infiltration 
Steroids  
IFN-α  
Aubert20 F, 32 Bones, retroperitoneal, adrenal infiltration 10 12 Normalized Slight injection sites reaction Disappearance of bone pain and fever 
Steroids Improvement of bone hypermetabolism in PET 
Vesanoid No change in retroperitoneal infiltration 
Killu22 M, 71 Right atrial mass, bilateral pleura infiltration, temporal artery infiltration Improvement of 18 FDG uptake in right atrial mass 
No prior treatment Heart MRI evaluation not done 
Courcoul23 M, 57 Bones 12 Normalized No side effects Disappearance of bone pain 
Steroids No changes in 18 FDG uptake, bone scan and bone MRI 
Pamidronate  
IFN-α  
Darstein24 M, 48 Bones, retroperitoneal, hydronephrosis, CNS Rapid decrease Gram-negative urosepsis controlled under antibiotics Improvement of neurological symptoms (not assessed by MRI) 
No prior treatment 
Cohen25 F, 43 Bones, pituitary involvement, sinuses, lichen planus NA Injection site reaction Cutaneous lesions, desmopressin need and bone pain improvement 
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