“…The use of ECP for EF has been previously reported in two case series (Minciullo, Morabito, Mandaglio, Iacopino, & Gangemi, 2006;Romano et al, 2003) and one case report (Pileri, Odorici, Giudice, Patrizi, & Bardazzi, 2014), totaling six patients. Refractory disease, as in our case, was the main indication of use, being considered as first-line therapy in only one patient with post-bone marrow transplant EF (Minciullo et al, 2006).…”