“…In a report from Peru, 12 patients received different chemotherapy regimens including CHOP with further adjuvant radiotherapy in 4 cases, only 4 patients remained alive, 10 patients died after a mean follow-up of 11.6 months after initial diagnosis because of either concurrent infections, disease progression or both. [ 2 ] In contrast, immunomodulating therapies such as interferon-α, prednisolone, cyclosporine A, and thalidomide have been shown to result in improvement of symptoms, [ 3 , 11 , 12 ] Xu et al [ 3 ] reported a series of 7 Chinese children with HVLL, 4 cases had their skin lesions improved after interferon-α treatment. In the report by Beltrán et al, [ 11 ] 2 out of 4 patients had clinical response to thalidomide, which is a drug with immunomodulatory and antiangiogenic properties.…”