Adult Langerhans cell Histiocytosis and CMML

Posted by cblowers1 @cblowers1, Feb 27, 2020

I was diagnosed with Langerhans cell Histiocytosis in May of 2016 after a biopsy of skin lesions. I had never heard of this rare disease and the NP at Mayo Rochester who called with results said she had had to look it up and she gave me some basic information. I soon learned much about this blood disorder of myeloid cell origin which affects only 1 or 2 adults per million population. It is more commonly a pediatric disease, although still rare. It can cause lesions on skin, bones, lungs, liver, or spleen. It can also cause problems with the central nervous system.
After a PET scan and other tests and imaging, it appears that mine is skin only. I did test positive for an acquired mutation of the BRAF gene that is found in up to 60% of patients with the disease. I have tried numerous topical treatments, including several strong steroidal ointments and cream, ointment to rev up my immune system and even nitrogen mustard in gel form. Although some helped, all topical treatments eventually, or very quickly caused worse skin irritation that the original lesions. Brachytherapy to affected skin in the groin area caused painful burns. For the last 5 months, I have been taking Hydrea, 500mg and then 1000mg per day.
This has resulted in the best response yet. I still seem to have flare ups and then subsiding of the skins, but much less severe. In June, 2019, a bone marrow biopsy was performed after blood labs had shown low platelet counts and high monocytes over a period of time. I was diagnosed with chronic myelomonocytic leukemia (CMML 0). This is another rare disease that is a myeloid disorder. My best hope is for a slow progression of this leukemia, since current treatments only treat symptoms. There are possible treatments being studied, but not yet available. Having any rare disease is frustrating since there is often very little money available for research because so few would benefit. It is also difficult to find providers who are knowledgeable about diseases so rarely seen! Any others have any experience with these disorders?

Interested in more discussions like this? Go to the Blood Cancers & Disorders Support Group.

@hearttoheart1

How kind of you to think of me
I am not great today and yesterday
I had srarted to walk to the grave last week which I find comforting
I can get my walk done and it gives me a purpose to change the flowers and I like keeping the grave nice with fresh flowers
But I’m just so sad now,today
I have been busy doing lots of paperwork , finalising funeral payments etc
But he is greatly missed
I have decided to do a flower arranging course that starts online in March
I could then do my own flowers for my home and the grave
But today is a bad day
I’m doing my best
Knowing you are thinking of me so far away brings me comfort
Someone dear to you is looking after you today, with your little white feather🙏
Thank you 😘

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I couldn’t let another day go by without popping in to see how you’re holding up, my friend. I think this has been a long winter for you so I really hope there is the renewal of the season all around you with bright sunshine and spring flowers. Do you have a lot of spring bulbs in your gardens?
Have you begun your online flower arranging class? 🌷🌸

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@loribmt

I couldn’t let another day go by without popping in to see how you’re holding up, my friend. I think this has been a long winter for you so I really hope there is the renewal of the season all around you with bright sunshine and spring flowers. Do you have a lot of spring bulbs in your gardens?
Have you begun your online flower arranging class? 🌷🌸

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Apologies
It has been a long time.times I feel I am doing nothing but then again,I am making each day as productive as possible
I now have my walk routine changed.I am now doing a 6 k most days,this time it is to the grave.gives me a real purpose and it is nice to visit and see the how the flowers are
Yes I am doing the online flower arranging
Really good
I buy my own flowers have the oasis and all the stuff needed
You would be very proud of me seeing my ‘artistic ‘ work
I wish I could you .Michael would be proud too knowing I did them all by myself
His memorium cards arrived yesterday.
Very difficult to do but they are so special and my daughters say he would be proud too.
The daffodils and tulips are doing well ,but I know he would be doing more as this is the time to plant.,but I’m not ready for too much yet
The robotic lawnmower we got last year is out now in the garden.the guy we bought it from called in and set it up for me,so kind.
He is greatly missed in the house,so quiet now,but the girls call and my daughter in Spain wants me to visit but I’m not ready to go just yet,she understands .She will be here for Easter
I hope you too are keeping well,I am talking too much about me.but thank God for good friends,means so much to me
Much love xx💖🌺☘️

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