“…These findings strongly suggest that the improvement of multicentric reticulohistiocytosis could be accounted for by the alendronate treatment. In the case reports of multicentric reticulohistiocytosis described thus far, more aggressive therapy, such as a combination of corticosteroids with immunosuppressive agents (3, 13–15), has met with some success, although a satisfactory result was not obtained, and sometimes there were severe adverse effects, such as nephrotoxicity, myelosuppression, and lymphocytopenia (3, 4).…”