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Lima LPND, Amorim CV, Marinho RM, Cintra ML, Souza EMD. Congenital solitary reticulohistiocytosis (Hashimoto - Pritzker) - Case report. An Bras Dermatol 2022; 97:778-782. [PMID: 36153176 PMCID: PMC9582890 DOI: 10.1016/j.abd.2022.01.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2021] [Revised: 12/21/2021] [Accepted: 01/03/2022] [Indexed: 11/16/2022] Open
Abstract
Congenital and self-healing Hashimoto-Pritzker reticulohistiocytosis is the benign variant of the Langerhans cell histiocytosis (LCH) group. It is characterized by multiple skin lesions (congenital or appearing during the first days after birth), without systemic manifestations and spontaneous resolution in days to months. The authors report the case of a boy with a single congenital leg skin lesion, a rare disease variant. Through histopathology, a dense skin infiltration of S100 protein-, CD1a-, CD207-immunomarked cells was found. KI67 index was high (62%). A complete spontaneous resolution occurred 07 days after the biopsy (25 days after birth). Monolesional disease, distal limb lesion, absence of lesions in the mucous membrane or seborrheic area, and less than 25 percent of LCs with Birbeck granules were said to be possible clues for a favorable prognosis in LCs histiocytosis. But, as a precautionary measure, the child will be followed up until at least 2 years of age.
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Affiliation(s)
| | - Carolina Viza Amorim
- Department of Pathology, Universidade Estadual de Campinas, Campinas, SP, Brazil.
| | | | - Maria Letícia Cintra
- Department of Pathology, Universidade Estadual de Campinas, Campinas, SP, Brazil.
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2
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Yuki CS, Young PJ, Ohsie S, Nguyen X. Congenital self‐healing reticulohistiocytosis: An atypical presentation acquired in a 10‐month‐old. Clin Case Rep 2022; 10:e6227. [PMID: 35999986 PMCID: PMC9388843 DOI: 10.1002/ccr3.6227] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2022] [Revised: 07/02/2022] [Accepted: 07/09/2022] [Indexed: 11/25/2022] Open
Abstract
Congenital self‐healing reticulohistiocytosis of Hashimoto and Pritzker (CSHR) is a rare, benign form of Langerhans Cell Histiocytosis (LCH) that presents at birth and involutes by 6 months of age. We present an atypical case of CSHR with the first onset at 7 months of age, treated with surgical excision.
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Affiliation(s)
- Christopher S. Yuki
- Midwestern University Arizona College of Osteopathic Medicine Glendale Arizona USA
| | - Patrick J. Young
- Midwestern University Arizona College of Osteopathic Medicine Glendale Arizona USA
| | - Steven Ohsie
- Affiliated Pathologists Medical Group / Binder Institute of Pathology Torrance California USA
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3
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Fraitag S, Boccara O. What to Look Out for in a Newborn with Multiple Papulonodular Skin Lesions at Birth. Dermatopathology (Basel) 2021; 8:390-417. [PMID: 34449594 PMCID: PMC8395860 DOI: 10.3390/dermatopathology8030043] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2021] [Revised: 08/11/2021] [Accepted: 08/12/2021] [Indexed: 12/17/2022] Open
Abstract
Multiple papulonodular skin lesions at birth can indicate the presence of various benign and malignant disorders. Although the lesions’ clinical aspect (color and consistency, in particular) may steer the clinician towards one disorder or another (infantile myofibromatosis, xanthogranuloma, or metastatic neuroblastoma), the diagnosis can only be confirmed by the histopathologic assessment of a biopsy. In neonates, a rapid but accurate diagnosis is critical because skin lesions may be the first manifestation of a malignant disorder like leukemia cutis or metastatic neuroblastoma. Here, we review the various disorders that may manifest themselves as multiple skin lesions at birth.
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Affiliation(s)
- Sylvie Fraitag
- Department of Pathology, Necker-Enfants Malades Hospital, APHP, 75015 Paris, France
- Correspondence:
| | - Olivia Boccara
- Department of Dermatology, Necker-Enfants Malades Hospital, APHP, 75015 Paris, France;
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4
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Hamie L, Abbas O, Kurban M, Bhawan J. Osteoclast-Like Giant Cells: Focus on Entities Relevant to Dermatopathology and Underlying Pathogenesis. Am J Dermatopathol 2021; 43:163-173. [PMID: 33595228 DOI: 10.1097/dad.0000000000001769] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
ABSTRACT Osteoclast-like giant cells (OLGCs) resemble osteoclasts with their abundant cytoplasm and well-developed organelles. OLGCs are characteristic features of giant cell tumor of the tendon sheath and giant cell tumor of soft tissue but they have also been described in numerous other cutaneous conditions. The diagnostic and prognostic significance of the presence of OLGCs is unknown. Here, we summarize the clinical entities that can exhibit these cells to avoid a histological overlap, affecting diagnosis and management.
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Affiliation(s)
- Lamiaa Hamie
- Dermatology Resident, Dermatology Department, American University of Beirut, Beirut, Lebanon
| | - Ossama Abbas
- Professor, Dermatology Department, American University of Beirut, Beirut, Lebanon
| | - Mazen Kurban
- Associate Professor, Dermatology Department, American University of Beirut, Beirut, Lebanon ; and
| | - Jag Bhawan
- Professor, Dermatopathology Section, Department of Dermatology, Boston University School of Medicine, Boston, MA
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5
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Abstract
Langerhans cell histiocytosis is a rare pathology with different clinical manifestations in the neonatal period ranging from isolated bone lesions to systemic compromise.
We report a case of Langerhans cell histiocytosis including a literature review focused on the clinical manifestations, diagnosis, and treatment. A one-month-old patient was brought to medical consultation with lymphadenopathy and skin lesions, which were initially managed as an infectious pathology. The disease continued its progression without improvement with the treatment until the patient died due to respiratory failure.
The lymph node and skin biopsies revealed infiltration of atypical cells with positive immunohistochemistry for S100, CD1, and CD68 confirming Langerhans cell histiocytosis.
This disorder represents a great challenge and, therefore, it is important to alert and sensitize medical teams about it for timely diagnosis and management.
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6
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Langerhans Cell Histiocytoma: A Benign Histiocytic Neoplasm of Diverse Lines of Terminal Differentiation. Am J Dermatopathol 2019; 41:29-36. [DOI: 10.1097/dad.0000000000001255] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
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7
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Langerhans cell histiocytosis in children. J Am Acad Dermatol 2018; 78:1047-1056. [DOI: 10.1016/j.jaad.2017.05.060] [Citation(s) in RCA: 48] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2017] [Revised: 05/15/2017] [Accepted: 05/31/2017] [Indexed: 12/23/2022]
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8
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Gothwal S, Gupta AK, Choudhary R. Congenital Self Healing Langerhans Cell Histiocytosis. Indian J Pediatr 2018; 85:316-317. [PMID: 28929464 DOI: 10.1007/s12098-017-2469-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/17/2017] [Accepted: 08/30/2017] [Indexed: 11/26/2022]
Affiliation(s)
- Sunil Gothwal
- Department of Neonatology, Sawai Man Singh Medical College, Jaipur, Rajasthan, India.
- Department of Pediatrics, Sawai Man Singh Medical College, Jaipur, Rajasthan, India.
| | - Anand Kumar Gupta
- Department of Pediatrics, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India
| | - Ramesh Choudhary
- Department of Neonatology, Sawai Man Singh Medical College, Jaipur, Rajasthan, India
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9
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Frade AP, Godinho MM, Batalha ABW, Bueno APS. Congenital Langerhans cell histiocytosis: a good prognosis disease? An Bras Dermatol 2018; 92:40-42. [PMID: 29267442 PMCID: PMC5726673 DOI: 10.1590/abd1806-4841.20175308] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2015] [Accepted: 05/01/2016] [Indexed: 11/29/2022] Open
Abstract
Langerhans cell histiocytosis is rare and more frequent in children. The skin is
affected in 50% of the cases and is the only site in 10%. Its course varies from
self-limited and localized forms to severe multisystemic forms. Congenital cases
are usually exclusively cutaneous and self-limited, with spontaneous remission
in months. This study presents a rare congenital case, initially restricted to
the skin, with subsequent dissemination and fatal outcome. A male newborn
presented congenital disseminated erythematous scaly lesions. The biopsy was
conclusive for Langerhans cell histiocytosis. The patient evolved into the
multisystemic form in weeks, when chemotherapy was started, according to the
LCH-2009 protocol; however, the patient was refractory to treatment and
died.
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Affiliation(s)
- Ana Paula Frade
- Secretaria Municipal de Saúde do Rio de Janeiro, Rio de Janeiro (RJ), Brazil
| | | | - Anna Beatriz Willemes Batalha
- Department of Hematology, Instituto de Pediatria Martagão Gesteira, Universidade Federal do Rio de Janeiro (IPPMG-UFRJ) - Rio de Janeiro (RJ), Brazil
| | - Ana Paula Silva Bueno
- Department of Hematology, Instituto de Pediatria Martagão Gesteira, Universidade Federal do Rio de Janeiro (IPPMG-UFRJ) - Rio de Janeiro (RJ), Brazil
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Ho T, Oliver-Krasinski J, Russo P, Taylor J, Streicher J, Rubin AI. Including Langerhans cell histiocytosis in the differential diagnosis of skin tumors with osteoclast-like multinucleated giant cells. J Cutan Pathol 2017; 44:659-661. [PMID: 28509428 DOI: 10.1111/cup.12954] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2017] [Revised: 04/11/2017] [Accepted: 04/18/2017] [Indexed: 11/29/2022]
Affiliation(s)
- Tina Ho
- Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania
| | - Jennifer Oliver-Krasinski
- Department of Pathology and Laboratory Medicine, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania
| | - Pierre Russo
- Department of Pathology and Laboratory Medicine, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania
| | - Jesse Taylor
- Department of Plastic and Reconstructive Surgery, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania
| | - Jenna Streicher
- Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.,Department of Pediatrics, Section of Dermatology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania
| | - Adam I Rubin
- Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.,Department of Pathology and Laboratory Medicine, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.,Department of Pediatrics, Section of Dermatology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania
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11
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Erker C, Harker-Murray P, Talano JA. Usual and Unusual Manifestations of Familial Hemophagocytic Lymphohistiocytosis and Langerhans Cell Histiocytosis. Pediatr Clin North Am 2017; 64:91-109. [PMID: 27894453 DOI: 10.1016/j.pcl.2016.08.006] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Familial hemophagocytic lymphohistiocytosis (FHL) and Langerhans cell histiocytosis (LCH) are histiocytic diseases that occur most commonly in young children. Improvements in recognition and treatment have been substantial for both diseases in the past decade, although early and late morbidity continue to be major concerns. These two diagnoses behave differently, although the clinical spectra for both diseases are diverse and can lead to confusion and delays in diagnosis and treatment. This article focuses on the clinical and genetic spectrum of FHL as well as the clinical and treatment variations of LCH.
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Affiliation(s)
- Craig Erker
- Division of Pediatric Hematology/Oncology/Blood and Marrow Transplant, Medical College of Wisconsin, 8701 Watertown Plank Road, MFRC 3018, Milwaukee, WI 53226, USA
| | - Paul Harker-Murray
- Division of Pediatric Hematology/Oncology/Blood and Marrow Transplant, Medical College of Wisconsin, 8701 Watertown Plank Road, MFRC 3018, Milwaukee, WI 53226, USA
| | - Julie-An Talano
- Division of Pediatric Hematology/Oncology/Blood and Marrow Transplant, Medical College of Wisconsin, 8701 Watertown Plank Road, MFRC 3018, Milwaukee, WI 53226, USA.
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12
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Morren MA, Vanden Broecke K, Vangeebergen L, Sillevis-Smitt JH, Van Den Berghe P, Hauben E, Jacobs S, Van Gool SW. Diverse Cutaneous Presentations of Langerhans Cell Histiocytosis in Children: A Retrospective Cohort Study. Pediatr Blood Cancer 2016; 63:486-92. [PMID: 26586230 DOI: 10.1002/pbc.25834] [Citation(s) in RCA: 54] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/12/2015] [Accepted: 10/12/2015] [Indexed: 12/31/2022]
Abstract
BACKGROUND Langerhans cell histiocytosis (LCH) is a rare disease, frequently affecting young children. PROCEDURE We performed a retrospective study in patients younger than 16 years old manifesting with skin symptoms, and documented their different cutaneous lesions and systemic symptoms. We compared subgroups of children with single-system, skin-only, and multisystem disease and sought signs predictive for multisystem disease. In a small sample of patients, BRAF mutations were analyzed in archived biopsies. RESULTS A wide spectrum of cutaneous presentations varying from crusted nodules and papules, blisters, vascular tumor-like lesions, scaling orange to red macules (frequently in seborrheic regions) to purpuric macules, and papules was documented in our cohort of 32 children. Otitis externa was a common manifestation and mucosal lesions were seen in three patients. A novel manifestation was a red-blue nodule that appeared in a patient after a vaccination. None of the cutaneous lesions was predictive for the classification or final outcome as a single-system or multisystem disease. However, later onset and a more protracted course of skin lesions were more frequent findings in multisystem LCH. Mucosal lesions and otitis externa were almost exclusively seen in patients with multisystem disease, a finding that warrants further investigation. Both wild-type (WT) and mutated BRAF were found not only in multisystem LCH, but also in skin-only LCH. Two cases with rapidly resolving congenital lesions had WT BRAF. CONCLUSIONS Late onset and a protracted course of skin lesions are associated with MS-LCH, whereas WT BRAF is found in rapidly resolving skin lesions.
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Affiliation(s)
- Marie-Anne Morren
- Department of Dermatology, University Hospitals Leuven, Leuven, Belgium and Department of Microbiology and Immunolgy KU Leuven, Belgium
| | - Katrien Vanden Broecke
- Department of Dermatology, University Hospitals Leuven, Leuven, Belgium and Department of Microbiology and Immunolgy KU Leuven, Belgium
| | - Leen Vangeebergen
- Department of Pediatrics, University Hospitals Leuven, Leuven, Belgium
| | | | | | - Esther Hauben
- Department of Pathology, University Hospitals Leuven, Leuven, Belgium
| | - Sandra Jacobs
- Department of Pediatrics, University Hospitals Leuven, Leuven, Belgium
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13
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Chen AJ, Jarrett P, Macfarlane S. Congenital self-healing reticulohistiocytosis: the need for investigation. Australas J Dermatol 2016; 57:76-7. [PMID: 26820790 DOI: 10.1111/ajd.12222] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
| | - Paul Jarrett
- Dermatology, Middlemore Hospital, Auckland, New Zealand.,Department of Medicine, The University of Auckland, Auckland, New Zealand
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14
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Elia D, Torre O, Cassandro R, Caminati A, Harari S. Pulmonary Langerhans cell histiocytosis: a comprehensive analysis of 40 patients and literature review. Eur J Intern Med 2015; 26:351-6. [PMID: 25899682 DOI: 10.1016/j.ejim.2015.04.001] [Citation(s) in RCA: 62] [Impact Index Per Article: 6.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/10/2015] [Revised: 03/30/2015] [Accepted: 04/01/2015] [Indexed: 12/19/2022]
Abstract
BACKGROUND Pulmonary Langerhans cell histiocytosis (PLCH) is a rare interstitial disease affecting primarily young adult smokers. In order to highlight the clinical features of the disease, we conducted a retrospective analysis on clinical data of PLCH patients followed at our center; moreover, we reviewed the current literature on PLCH. METHOD AND RESULTS Between January 2004 and July 2014, 40 patients with PLCH were evaluated at our Division. The average patients' age was 40 (± 14) years, and 22 of them were females. Diagnosis was based on search of CD1a+ cells in the bronchoalveolar lavage (10 patients), lung biopsy (8 patients), or cystic bone lesion's biopsy (2 patients); in 12 patients, diagnosis was achieved on the basis of the clinical-radiological data. The principal manifestation of PLCH was the presence of cysts involving upper lung zones with costophrenic sparing on chest CT scan (in 25 patients); micronodular pattern in the middle-upper zone and combination of the two radiological patterns were less frequently observed (in 9 and 6 patients, respectively). Pulmonary hypertension was found in 4 patients. Extra pulmonary manifestations were diabetes insipidus, bone lesions, and skin involvement (in 5, 7, and 1 patient, respectively). For 25 patients, smoking cessation was the only required therapy. Treatments with low dose of prednisolone, vinblastine and prednisolone, or 6-mercaptopurin were reserved for patients with major pulmonary or extra-pulmonary involvement (for 11, 4, and 5 patients, respectively). In conclusion, PLCH is a rare, multi-systemic disease; early diagnosis, accurate staging and smoking cessation are considered critical in PLCH management.
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Affiliation(s)
- Davide Elia
- U.O. di Pneumologia e Terapia Semi-Intensiva, Servizio di Fisiopatologia Respiratoria ed Emodinamica Polmonare Ospedale San Giuseppe MultiMedica, via San Vittore 12, 20123 Milano, Italy
| | - Olga Torre
- U.O. di Pneumologia e Terapia Semi-Intensiva, Servizio di Fisiopatologia Respiratoria ed Emodinamica Polmonare Ospedale San Giuseppe MultiMedica, via San Vittore 12, 20123 Milano, Italy
| | - Roberto Cassandro
- U.O. di Pneumologia e Terapia Semi-Intensiva, Servizio di Fisiopatologia Respiratoria ed Emodinamica Polmonare Ospedale San Giuseppe MultiMedica, via San Vittore 12, 20123 Milano, Italy
| | - Antonella Caminati
- U.O. di Pneumologia e Terapia Semi-Intensiva, Servizio di Fisiopatologia Respiratoria ed Emodinamica Polmonare Ospedale San Giuseppe MultiMedica, via San Vittore 12, 20123 Milano, Italy
| | - Sergio Harari
- U.O. di Pneumologia e Terapia Semi-Intensiva, Servizio di Fisiopatologia Respiratoria ed Emodinamica Polmonare Ospedale San Giuseppe MultiMedica, via San Vittore 12, 20123 Milano, Italy.
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Slade JM, Korman S, Khan B, Jakate SM, Reddy VB, Miller IJ. A unique case of a myelodysplastic/myeloproliferative neoplasm with distinct histiocytic and dendritic cell outgrowths. J Hematop 2015. [DOI: 10.1007/s12308-015-0236-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022] Open
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Congenital self-healing reticulohistiocytosis (Hashimoto–Pritzker syndrome). JOURNAL OF DERMATOLOGY & DERMATOLOGIC SURGERY 2015. [DOI: 10.1016/j.jdds.2014.03.002] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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Mandel VD, Ferrari C, Cesinaro AM, Pellacani G, Del Forno C. Congenital “self-healing” Langerhans cell histiocytosis (Hashimoto-Pritzker disease): A report of two cases with the same cutaneous manifestations but different clinical course. J Dermatol 2014; 41:1098-101. [DOI: 10.1111/1346-8138.12670] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2014] [Accepted: 09/15/2014] [Indexed: 11/27/2022]
Affiliation(s)
| | - Chiara Ferrari
- Department of Dermatology; University of Modena and Reggio Emilia; Modena Italy
| | - Anna Maria Cesinaro
- Department of Anatomic Pathology; University of Modena and Reggio Emilia; Modena Italy
| | - Giovanni Pellacani
- Department of Dermatology; University of Modena and Reggio Emilia; Modena Italy
| | - Corrado Del Forno
- Department of Dermatology; University of Modena and Reggio Emilia; Modena Italy
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18
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Uber M, Robl R, Carvalho VO, Abagge KT, Werner B, Marinoni LP. Congenital ulcer: what do you think? Arch Dis Child Fetal Neonatal Ed 2014; 99:F437. [PMID: 24625435 DOI: 10.1136/archdischild-2013-305901] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Affiliation(s)
- Marjorie Uber
- Departament of Pediatric Dermatology, Hospital de Clínicas, Universidade Federal do Paraná, Curitiba, Paraná, Brazil
| | - Renata Robl
- Departament of Pediatric Dermatology, Hospital de Clínicas, Universidade Federal do Paraná, Curitiba, Paraná, Brazil
| | - Vânia Oliveira Carvalho
- Departament of Pediatric Dermatology, Hospital de Clínicas, Universidade Federal do Paraná, Curitiba, Paraná, Brazil
| | - Kerstin Taniguchi Abagge
- Departament of Pediatric Dermatology, Hospital de Clínicas, Universidade Federal do Paraná, Curitiba, Paraná, Brazil
| | - Betina Werner
- Departament of Pathology, Hospital de Clínicas, Universidade Federal do Paraná, Curitiba, Brazil
| | - Leide Parolin Marinoni
- Departament of Pediatric Dermatology, Hospital de Clínicas, Universidade Federal do Paraná, Curitiba, Paraná, Brazil
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19
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Zanuncio VV, Carvalho LRD, Guedes ACM, Silva CMR, Gontijo B. Case for diagnosis. Hashimoto-Pritzker disease. An Bras Dermatol 2014; 88:1001-3. [PMID: 24474118 PMCID: PMC3900360 DOI: 10.1590/abd1806-4841.20132451] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2013] [Accepted: 03/25/2013] [Indexed: 12/04/2022] Open
Abstract
Langerhans cell histiocytosis is a rare, clinically heterogeneous desease. Since
there is considerable clinical overlap among the four described variants
(Hand-Schüller-Christian, eosinophilic granuloma, Letterer-Siwe and
Hashimoto-Pritzker), the concept of spectral disease applies to this entity. The
Hashimoto-Pritzker variant was first described in 1973. Characteristically, it is
present at birth or during the first days of life, impairment is limited to the skin
and prognosis is favorable with spontaneous resolution. We report a newborn male
patient with Hashimoto-Pritzker disease presenting as a S100 + and CD1a + single
congenital perianal lesion with rapid involution in two months.
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Affiliation(s)
- Virginia Vinha Zanuncio
- Hospital das Clínicas, Federal University of Minas Gerais, Belo HorizonteMG, Brazil, Medical Resident. Dermatology Unit, Hospital das Clínicas, Federal University of Minas Gerais (HC-UFMG) - Belo Horizonte (MG), Brazil
| | - Luciana Rabelo de Carvalho
- Hospital das Clínicas, Federal University of Minas Gerais, Belo HorizonteMG, Brazil, Medical Resident. Dermatology Unit, Hospital das Clínicas, Federal University of Minas Gerais (HC-UFMG) - Belo Horizonte (MG), Brazil
| | - Antônio Carlos Martins Guedes
- Pediatric Dermatology Service, Federal University of Minas Gerais, Hospital das Clínicas, Belo HorizonteMG, Brazil, Specialist in Dermatology and Pediatrics. Master in Dermatology, Federal University of Minas Gerais (UFMG). Medical Clinic of Pediatric Dermatology Service, Hospital das Clínicas, Federal University of Minas Gerais (HC-UFMG) - Belo Horizonte (MG), Brazil
| | - Cláudia Márcia Resende Silva
- School of Medicine, Federal University of Minas Gerais, Belo HorizonteMG, Brazil, MD, PHD. Associate Professor of Dermatology, Federal University of Minas Gerais School of Medicine (UFMG) - Belo Horizonte (MG), Brazil
| | - Bernardo Gontijo
- Pediatric Dermatology Service, Federal University of Minas Gerais, Hospital das Clínicas, Belo HorizonteMG, Brazil, Specialist in Dermatology and Pediatrics. Master in Dermatology, Federal University of Minas Gerais (UFMG). Medical Clinic of Pediatric Dermatology Service, Hospital das Clínicas, Federal University of Minas Gerais (HC-UFMG) - Belo Horizonte (MG), Brazil
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20
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Wheller L, Carman N, Butler G. Unilesional self-limited Langerhans cell histiocytosis: a case report and review of the literature. J Cutan Pathol 2013; 40:595-9. [DOI: 10.1111/cup.12121] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2010] [Revised: 05/22/2011] [Accepted: 12/31/2012] [Indexed: 11/26/2022]
Affiliation(s)
- Laura Wheller
- Dermatology Research Centre, UQ School of Medicine; Princess Alexandra Hospital; Brisbane; Australia
| | - Nicholas Carman
- Department of Gastroenterology, Royal Children's Hospital; Brisbane; Australia
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21
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Identification of the V600D mutation in Exon 15 of theBRAFoncogene in congenital, benign langerhans cell histiocytosis. Genes Chromosomes Cancer 2012; 52:99-106. [DOI: 10.1002/gcc.22010] [Citation(s) in RCA: 44] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2012] [Accepted: 08/16/2012] [Indexed: 12/15/2022] Open
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Murray M, Dean J, Slater L. Multifocal Oral Langerhans Cell Histiocytosis. J Oral Maxillofac Surg 2011; 69:2585-91. [DOI: 10.1016/j.joms.2011.01.008] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2010] [Accepted: 01/04/2011] [Indexed: 10/18/2022]
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Dorjsuren G, Kim HJ, Jung JY, Bae BG, Lee JH. Solitary Type of Congenital Self-healing Reticulohistiocytosis. Ann Dermatol 2011; 23 Suppl 1:S4-7. [PMID: 22028569 PMCID: PMC3199419 DOI: 10.5021/ad.2011.23.s1.s4] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2010] [Revised: 06/10/2010] [Accepted: 06/10/2010] [Indexed: 11/17/2022] Open
Abstract
Congenital self-healing reticulohistiocytosis is a rare, congenital, benign, self-healing variant of Langerhans cell histiocytosis. It usually appears as multiple papules or nodules; however, occurrence of the solitary type is very rare. We report on a case of solitary congenital self-healing reticulohistiocytosis in a 29-day-old girl who presented with a papule on her sole. Two months later, the lesion regressed with a slight scar. Based upon clinical and histologic findings, we made a diagnosis of solitary congenital self-healing reticulohistiocytosis. In this report, we summarized reported cases of solitary congenital self-healing retioculohistiocytosis in Korea with a review of the literature.
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Affiliation(s)
- Gantsetseg Dorjsuren
- Department of Dermatology and Cutaneous Biology Research Institute, Yonsei University College of Medicine, Seoul, Korea
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Jensen MLS, Bygum A, Clemmensen O, Fenger-Gron J. Congenital self-healing reticulohistiocytosis - an important diagnostic challenge. Acta Paediatr 2011; 100:784-6. [PMID: 21158911 DOI: 10.1111/j.1651-2227.2010.02123.x] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
AIM To present current and new knowledge on congenital self-healing reticulohistiocytosis, a benign variant of cutaneous Langerhans cell histiocytosis presenting with skin lesions in the neonatal period. METHODS We describe and photo document two cases of this rare disease and review the literature. RESULTS Only few newborns have acute access to a neonatal dermatologist, and we demonstrate how the spontaneous cutaneous involution may happen even prior to the first dermatological assessment. As no sole criterion can reliably distinguish the self-healing form from disseminated disease, multidisciplinary assessment and follow-up are essential. CONCLUSION Our data document how easily the diagnosis congenital self-healing reticulocytosis may be missed and emphasize the importance and value of instant clinical photographing at the neonatal unit and the use of teledermatology whenever congenital self-healing reticulohistiocytosis is suspected.
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[Solitary congenital self-healing histiocytosis (Hashimoto-Pritzker disease)]. ACTAS DERMO-SIFILIOGRAFICAS 2011; 102:301-3. [PMID: 21345400 DOI: 10.1016/j.ad.2010.07.007] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2010] [Revised: 06/23/2010] [Accepted: 07/11/2010] [Indexed: 11/20/2022] Open
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Elguezabal A, Turégano P, Landeyro J, Mayayo E. Solitary Congenital Self-Healing Histiocytosis (Hashimoto-Pritzker Disease). ACTAS DERMO-SIFILIOGRAFICAS 2011. [DOI: 10.1016/s1578-2190(11)70810-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022] Open
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27
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Affiliation(s)
- Ji Young Kim
- Department of Pediatrics, Cheil General Hospital, College of Medicine, Kwandong University, Seoul, Korea
| | - Yeon Kyung Lee
- Department of Pediatrics, Cheil General Hospital, College of Medicine, Kwandong University, Seoul, Korea
| | - Sun Young Ko
- Department of Pediatrics, Cheil General Hospital, College of Medicine, Kwandong University, Seoul, Korea
| | - Kyung A Kim
- Department of Pediatrics, Cheil General Hospital, College of Medicine, Kwandong University, Seoul, Korea
| | - Son Moon Shin
- Department of Pediatrics, Cheil General Hospital, College of Medicine, Kwandong University, Seoul, Korea
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Nakashima T, Onoe Y, Tashiro A, Yamashita H. Congenital self-healing LCH: a case with lung lesions and review of the literature. Pediatr Int 2010; 52:e224-6. [PMID: 20958872 DOI: 10.1111/j.1442-200x.2010.03140.x] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- Toshinori Nakashima
- Department of Pediatrics, National Hospital Organization Kokura Medical Center, Kitakyushu, Fukuoka, Japan.
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29
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Ricciardo B, Irvine A, McDermott M, Ryan J, Collins S. A case of congenital solitary Langerhans cell histiocytoma. Australas J Dermatol 2010; 52:e1-3. [DOI: 10.1111/j.1440-0960.2010.00625.x] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Lucioni M, Beluffi G, Bandiera L, Zecca M, Inzani F, Fiandrino G, Viglio A, Stronati M, Necchi V, Riboni R, Locatelli F, Paulli M. Congenital aggressive variant of Langerhans cells histiocytosis with CD56+/E-Cadherin- phenotype. Pediatr Blood Cancer 2009; 53:1107-10. [PMID: 19621455 DOI: 10.1002/pbc.22196] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Abstract
In children < 2 years of age, cutaneous involvement is the most frequent presentation of Langerhans cell histiocytosis (LCH). Cutaneous LCH can be localized or associated with dissemination and organ dysfunction. The clinical course is variable, ranging from spontaneous regression to a fatal outcome. We describe a female newborn presenting with congenital cutaneous lesions who rapidly developed pulmonary infiltrates and multiple osteolytic lesions. Skin biopsy showed a dermal infiltrate of medium to large cells morphologically and phenotypically consistent with LCH. The clinical course was rapidly fatal in spite of chemotherapy. No strict correlation between morphology and prognosis has been documented in LCH, but, in our case, distinct morphological and immunohistochemical features (CD56 expression and no E-Cadherin expression) may have contributed to an aggressive clinical course.
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Affiliation(s)
- Marco Lucioni
- Anatomic Pathology Section, Department of Human Pathology, University of Pavia, Foundation IRCCS Policlinico San Matteo, Pavia, Italy
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31
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Jaffe R. Is there a role for histopathology in predicting the clinical outcome in congenital and infant Langerhans cell disease? Pediatr Blood Cancer 2009; 53:924-5. [PMID: 19672979 DOI: 10.1002/pbc.22241] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Affiliation(s)
- Ronald Jaffe
- Division of Pathology, Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania 15201, USA.
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Weidner KR, Chan S, Jogi R, Glaich AS, Ostler DA, Hsu S. JAAD Grand Rounds quiz. Necrotic, ulcerated papules on a newborn male. J Am Acad Dermatol 2009; 61:544-6. [PMID: 19700029 DOI: 10.1016/j.jaad.2008.12.023] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2008] [Revised: 12/20/2008] [Accepted: 12/31/2008] [Indexed: 11/25/2022]
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33
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Frieden IJ, Rogers M, Garzon MC. Conditions masquerading as infantile haemangioma: Part 2. Australas J Dermatol 2009; 50:153-68; quiz 169-70. [DOI: 10.1111/j.1440-0960.2009.00529_1.x] [Citation(s) in RCA: 40] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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34
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Affiliation(s)
- Barbara Riva
- Department of Pediatric Dermatology, Institute of Dermatological Sciences, IRCCS Ospedale Maggiore Policlinico, Mangiagalli e Regina Elena, Milan, Italy.
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Kolivras A, Theunis A, de Saint-Aubain N, Zelger B, Sass U, Dangoisse C, André J. Congenital disseminated juvenile xanthogranuloma with unusual skin presentation and renal involvement. J Cutan Pathol 2009; 36:684-8. [DOI: 10.1111/j.1600-0560.2008.01101.x] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Mosterd K, van Marion A, van Steensel MAM. Neonatal Langerhans' cell histiocytosis: a rare and potentially life-threatening disease. Int J Dermatol 2009; 47 Suppl 1:10-2. [PMID: 18986477 DOI: 10.1111/j.1365-4632.2008.03950.x] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
A 5-day-old girl presented with thrombocytopenia, leukopenia, anemia and crusted purpura on the skin. The diagnosis Langerhans' cell histiocytosis (LCH) was suspected on clinical grounds and subsequently confirmed by histopathological examination of a skin biopsy. Cytological examination of a bone marrow aspirate revealed numerous histiocytes, which is suspect for bone-marrow infiltration by LCH. LCH is a condition in which a clonal population of Langerhans' cells accumulates in various tissues, causing tissue damage and/or dysfunction. The prognosis of this disease depends on the age of the patient, the extent of the disease and the presence of vital organ failure. In case of organ dysfunction, systemic chemotherapy is indicated. Although very rare, LCH can be a life-threatening disease. Early diagnosis can improve chances of survival. We briefly discuss diagnostic procedures and treatment.
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Affiliation(s)
- Klara Mosterd
- Department of Dermatology, University Hospital Maastricht, and GROW Research Institute for Oncology and Developmental Biology, University of Maastricht, The Netherlands.
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Steff M, Maillard H, Wastiaux H, Prophette B, Celerier P. Histiocytome congénital : une lésion bénigne. Ann Dermatol Venereol 2009; 136:269-72. [DOI: 10.1016/j.annder.2008.09.019] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2008] [Accepted: 09/12/2008] [Indexed: 10/21/2022]
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Abstract
Langerhans cell histiocytosis (LCH) is a poorly understood proliferative disease, with different patterns of clinical presentation. Currently it is classified according to the number and type of system involved and the degree of organ dysfunction. The aetiology of the disease remains uncertain, and in some cases the disease is polyclonal, suggesting a reactive condition. Many cytokines have been implicated in the pathogenesis of LCH. Different therapeutic approaches can be considered depending on the affected organ, including surgery, radiotherapy and chemotherapy. Long-term organ dysfunction may remain, despite disease control and/or eradication, making indefinite supportive treatment mandatory. Here we present a literature review on all of the aspects of the disease, treatment approaches and existing protocols, and finally an adult clinical case.
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39
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Pápulas costrosas generalizadas en una recién nacida. ACTAS DERMO-SIFILIOGRAFICAS 2008. [DOI: 10.1016/s0001-7310(08)74744-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
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40
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Abstract
Congenital Langerhans cell histiocytosis (LCH) is a rare condition with great diversity. A case of congenital skin-only LCH presenting as a "blueberry muffin baby" with a spontaneous regression by the age of 8 months is reported here. New insights into clinical manifestations and prognosis, which is not uniformly positive, are discussed. A thorough examination and a careful follow-up should be provided to these patients. Systemic therapy is warranted in multi-system disease; no consensus on treatment exists in case of LCH isolated to skin. The diagnosis of congenital self-healing LCH should be made only retrospectively.
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Abstract
PURPOSE OF REVIEW Langerhans cell histiocytosis is the commonest of the histiocytic disorders. Owing to the relative rarity of the condition, it remains a disease in which the diagnosis is often delayed or missed and in which many questions remain unanswered, ranging from etiology and pathogenesis to therapy. The management is often frustrating for care-givers and parents/patients. The purpose of the review is therefore to raise awareness of the disease and to highlight the clinical findings that should make the pediatrician or primary care-giver suspect the diagnosis, as well as current thinking regarding management of the various and diverse manifestations of this disease. RECENT FINDINGS We discuss new and interesting insights into the biology of Langerhans cell histiocytosis that raise the possibility of future targeted therapy. Important points in the diagnosis, investigation and management of the various forms of the disease are also discussed. SUMMARY We present a review of childhood Langerhans cell histiocytosis, highlighting new insights into pathogenesis and management of the various forms of this complex disease.
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42
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Bibliography. Current world literature. Hematology and oncology. Curr Opin Pediatr 2008; 20:107-13. [PMID: 18197049 DOI: 10.1097/mop.0b013e3282f572b6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
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Zunino-Goutorbe C, Eschard C, Durlach A, Bernard P. Congenital solitary histiocytoma: a variant of Hashimoto-Pritzker histiocytosis. A retrospective study of 8 cases. Dermatology 2008; 216:118-24. [PMID: 18216473 DOI: 10.1159/000111508] [Citation(s) in RCA: 26] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2007] [Accepted: 07/14/2007] [Indexed: 11/19/2022] Open
Abstract
BACKGROUND Self-healing solitary-lesion Hashimoto-Pritzker histiocytosis (HPH), a rare, congenital, purely cutaneous Langerhans histiocytosis (only 30 cases reported), carries a good prognosis. OBJECTIVE To describe the clinical and histopathological characteristics of solitary HPH. METHODS To conduct a retrospective, observational study on 8 affected newborns. RESULTS For these infants, with otherwise normal physical examinations, the unique nodule or papule (5-15-mm diameter) was congenital. Systematic routine histological examination of the lesions found dermal infiltrates constituted predominantly of histiocytes with lymphocytes and eosinophils. Protein S100 and CD1a immunolabelings, done for 7 patients, were positive. Electron microscopy (n = 4) observed Birbeck granules. No visceral involvement or recurrence has ever been observed after 2-12 years of follow-up. CONCLUSIONS Because of its self-healing nature, congenital solitary HPH frequency has probably been underestimated. In the absence of systemic involvement, regular physical examination for at least 2 years seems a valid approach.
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Guillermo N, Hernández-Machín B, Borrego L. Disseminated Crusted Papules in a Newborn. ACTAS DERMO-SIFILIOGRAFICAS 2008. [DOI: 10.1016/s1578-2190(08)70316-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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45
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Avram MM, Gobel V, Sepehr A. Case records of the Massachusetts General Hospital. Case 30-2007. A newborn girl with skin lesions. N Engl J Med 2007; 357:1327-35. [PMID: 17898103 DOI: 10.1056/nejmcpc079025] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Affiliation(s)
- Mathew M Avram
- Department of Dermatology, Massachusetts General Hospital and Harvard Medical School, USA
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