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. 2017 Sep 27;26(145):170042. doi: 10.1183/16000617.0042-2017

TABLE 2.

Distinctive features of lymphangioleiomyomatosis (LAM) and pulmonary Langerhans cell histiocytosis (PLCH)

LAM PLCH
Related to smoking Not evident Strong
Gender predilection Yes (female) No
Genetic mutations TSC1 or more frequently, TSC2 BRAFV600E, NRAS, MAP2K1
HRCT pattern Cystic Nodular-cystic
Cystic
Nodular
Multisystem involvement Frequent Possible
Treatment Sirolimus# Smoking cessation
Steroids
Vinblastine
Possible role of cladribrine and BRAF inhibitors

#: approved by the US Food and Drug Administration in 2015, recognised as orphan drug by the European Medicines Agency in 2016. HRCT: high-resolution computed tomography.