Table 1.
Clinical data for five patients with lymphangioleiomyomatosis (LAM) and recurrent pneumothorax treated with sirolimus
Characteristics | Case 1 | Case 2 | Case 3 | Case 4 | Case 5 |
---|---|---|---|---|---|
Age (years) | 33 | 23 | 31 | 38 | 30 |
VEGF-D (pg/ml) | 6608 | 2385 | 1139 | 3901 | 2685.8 |
PaO2(mmHg) | 51 | 92 | 96 | 45.5 | 98 |
Surgery | No | No | Yes | Yes | Yes |
Chemical pleurodesis | No | No | Yes | No | No |
Number of PTX episodes before sirolimus therapy | 6 | 3 | 6 | 6 | 2 |
Sirolimus concentration (ng/ml) | 5–7 | 4–5 | 6–10 | 3–8 | 5.28a |
Number of PTX episodes during sirolimus therapy | 0 | 0 | 0 | 1 | 0 |
Follow-up 6MWT results (m) | 480 | 550 | 555 | 510 | 500 |
aOnly examined once
VEGF-D vascular endothelial growth factor-D, PTX pneumothorax, PFT pulmonary function test, 6MWT 6-min walk test, FVC forced vital capacity, FEV1 forced expiratory volume in 1 s, DLCO diffusing capacity for carbon monoxide