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Cong CV, Ly TT, Duc NM. Multisystem Langerhans cell histiocytosis: Literature review and case report. Radiol Case Rep 2022; 17:1407-1412. [PMID: 35251425 PMCID: PMC8891995 DOI: 10.1016/j.radcr.2022.02.024] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2022] [Revised: 02/03/2022] [Accepted: 02/05/2022] [Indexed: 11/16/2022] Open
Abstract
Langerhans cell histiocytosis (LCH) refers to a group of diseases of unknown etiology, typically discovered in childhood, characterized by the accumulation of Langerhans cells (white blood cells with large cell nuclei that may contain cytoplasmic histiocytosis X bodies) involving one or more organ systems, including bones, lungs, pituitary gland, skin, lymph nodes, and liver. This disease is also known as histiocytosis X or eosinophilic granuloma. Pulmonary LCH is common (identified in 40% of LCH patients) and may be isolated to the lung or involve other organs. Although LCH is characterized by clonal cell proliferation, adult LCH is considered likely to represent the manifestation of an aberrant immune response to an unspecified antigenic stimulus rather than a manifestation of tumor proliferation. We report a very complicated clinical case of LCH, with multiple organ damage that received a variety of different diagnoses. An LCH diagnosis was confirmed based on postoperative spinal cord pathology results and immunohistochemistry examinations. This case report highlights the clinical, laboratory, and imaging signs observed in this case that should be noted to help doctors more quickly recognize, diagnose, and treat similar cases.
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Affiliation(s)
- Cung-Van Cong
- Department of Radiology, National Lung Hospital, Ha Noi, Vietnam
| | - Tran-Thi Ly
- Center of Training and Direction of Healthcare Activities, National Lung Hospital, Ha Noi, Vietnam
| | - Nguyen Minh Duc
- Department of Radiology, Pham Ngoc Thach University of Medicine, Ho Chi Minh, Vietnam
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Morcel M, Keribin P, Quenel L, Bertin H, Neel A, Lesclous P. Diagnosis, treatment and recurrence of a mandibular Langerhans cell histiocytosis: a three-year follow-up case report. JOURNAL OF ORAL MEDICINE AND ORAL SURGERY 2022. [DOI: 10.1051/mbcb/2022027] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022] Open
Abstract
Introduction: Langerhans cell histiocytosis (LCH) is an abnormal clonal proliferation of Langerhans cells secondary to immune process, mutation of oncogene or genetic predispositions. It preferentially affects bone, lung and skin. The incidence is 2–6 cases per million per year. Prognosis is variable and depends on number and location of lesions, and impact of the initial treatment. Oral lesions may be the first sign of LCH as illustrated by the present case. Observation: A 24-year-old male consulted first for severe gingival inflammation, teeth mobilities and alveolar bone loss with a suspicion of LCH. A pulmonary involvement was secondarily revealed by tomodensitometry. Histological examination, from gingival biopsy, confirmed the diagnostic of LCH, showing cells positive for the anti-CD1A antibody. The patient was managed by oral surgery and chemotherapy approaches. Alveolar bone loss significantly reduced. But 2 years and a half after the diagnosis, a recurrence was noted and managed by surgical approach. After a three-year follow-up, no recurrence was noted. Conclusion: Oral lesions can be inaugural manifestations of LCH. The dentist has an essential role in the early detection of these lesions.
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Bendari M, Chamizakhraji I, Elamari S, Oqbani K, Ahnach M. Unusual Cutaneous Location of Langheransian Histiocytosis: A Case Report. Cureus 2021; 13:e19617. [PMID: 34956752 PMCID: PMC8674685 DOI: 10.7759/cureus.19617] [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] [Accepted: 11/15/2021] [Indexed: 11/18/2022] Open
Abstract
Langheransian cell histiocytosis (LCH) is a rare pathology characterized by the proliferation of CD1+ and Langerin+ cells. It can affect all ages, with an estimated prevalence of one to two cases/100,000 habitants. The involvement is often multi-visceral; however, isolated cutaneous involvement can be found in 40% of cases with very variable manifestations. We report the case of 45-year-old women followed for non-insulin-dependent diabetes and primary hyperparathyroidism suffering from isolated and refractory cutaneous histiocytosis.
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Karamova AE, Chikin VV, Znamenskaya LF, Nefedova MA, Mikhina VA, Battalova NS. Langerhans cell histiocytosis in an adult patient. VESTNIK DERMATOLOGII I VENEROLOGII 2019. [DOI: 10.25208/0042-4609-2019-95-4-57-66] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022] Open
Abstract
Aim: to present a clinical case of a rare dermatosis — Langerhans cell histiocytosis (LCH) in an adult patient.Materials and methods. A clinical and laboratory examination of a 64-year-old woman who had complained of rashes on the skin of the scalp, neck, trunk and lower extremities accompanied by itching was carried out. A histological study of skin biopsy samples from the lesion area, as well as an immunohistochemical study of Langerhans cell markers — langerin and S-100 protein — were performed.Results. Clinical manifestations of the disease, the presence of histiocytic infiltrate in the epidermis and dermis during the histological study and immunohistochemical detection of langerin infiltrate cells and S-100 protein were all consistent with the diagnosis of LCH. The therapy with methotrexate subcutaneously significantly improved the patient’s condition.Conclusion. Verification of the LCH diagnosis requires a histological study of skin biopsy samples and an immunohistochemical study of Langerhans cell markers. The efficacy of methotrexate in the treatment of this disease has been confirmed.
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Affiliation(s)
- A. E. Karamova
- State Research Center of Dermatovenereology and Cosmetology, Ministry of Health of the Russian Federation
| | - V. V. Chikin
- State Research Center of Dermatovenereology and Cosmetology, Ministry of Health of the Russian Federation
| | - L. F. Znamenskaya
- State Research Center of Dermatovenereology and Cosmetology, Ministry of Health of the Russian Federation
| | - M. A. Nefedova
- State Research Center of Dermatovenereology and Cosmetology, Ministry of Health of the Russian Federation
| | - V. A. Mikhina
- State Research Center of Dermatovenereology and Cosmetology, Ministry of Health of the Russian Federation
| | - N. S. Battalova
- State Research Center of Dermatovenereology and Cosmetology, Ministry of Health of the Russian Federation
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Herber M, Kaeuffer C, Martin A, Averous G, Nguimpi-Tambou M, Klipfel A, Hansmann Y, Lefebvre N, Argemi X, Ruch Y, Prendki V. [Persistent diarrhea in a 77 year-old woman]. Rev Med Interne 2019; 41:134-137. [PMID: 31421900 DOI: 10.1016/j.revmed.2019.07.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2019] [Accepted: 07/04/2019] [Indexed: 11/18/2022]
Affiliation(s)
- M Herber
- Service de maladies infectieuses et tropicales, CHU de Strasbourg, Nouvel hôpital civil, 1, place de l'Hôpital, 67091 Strasbourg cedex, France.
| | - C Kaeuffer
- Service de maladies infectieuses et tropicales, CHU de Strasbourg, Nouvel hôpital civil, 1, place de l'Hôpital, 67091 Strasbourg cedex, France
| | - A Martin
- Service de maladies infectieuses et tropicales, CHU de Strasbourg, Nouvel hôpital civil, 1, place de l'Hôpital, 67091 Strasbourg cedex, France
| | - G Averous
- Service d'anatomie pathologique, CHU de Strasbourg, hôpital de Haute-Pierre, 1, avenue Molière, Strasbourg 67200, France
| | - M Nguimpi-Tambou
- Service d'hépato-gastro-entérologie, CHU de Strasbourg, Haute-Pierre, 1, avenue Molière, Strasbourg cedex 67091, France
| | - A Klipfel
- Service de chirurgie digestive, CHU de Strasbourg, Haute-Pierre, 1, avenue Molière, Strasbourg cedex 67091, France
| | - Y Hansmann
- Service de maladies infectieuses et tropicales, CHU de Strasbourg, Nouvel hôpital civil, 1, place de l'Hôpital, 67091 Strasbourg cedex, France
| | - N Lefebvre
- Service de maladies infectieuses et tropicales, CHU de Strasbourg, Nouvel hôpital civil, 1, place de l'Hôpital, 67091 Strasbourg cedex, France
| | - X Argemi
- Service de maladies infectieuses et tropicales, CHU de Strasbourg, Nouvel hôpital civil, 1, place de l'Hôpital, 67091 Strasbourg cedex, France
| | - Y Ruch
- Service de maladies infectieuses et tropicales, CHU de Strasbourg, Nouvel hôpital civil, 1, place de l'Hôpital, 67091 Strasbourg cedex, France
| | - V Prendki
- Service de médecine Interne de l'Agé, hôpitaux universitaires de Genève, faculté de médecine de Genève, Suisse
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Flores-Terry M, Sanz-Trenado J, García-Arpa M, Cortina-de la Calle M. Cutaneous Langerhans Cell Histiocytosis Presenting in Adulthood. ACTAS DERMO-SIFILIOGRAFICAS 2019. [DOI: 10.1016/j.adengl.2018.12.005] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
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Flores-Terry MA, Sanz-Trenado JL, García-Arpa M, Cortina-de la Calle MP. Cutaneous Langerhans Cell Histiocytosis Presenting in Adulthood. ACTAS DERMO-SIFILIOGRAFICAS 2018; 110:167-169. [PMID: 30270145 DOI: 10.1016/j.ad.2017.12.015] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2017] [Revised: 11/16/2017] [Accepted: 12/26/2017] [Indexed: 10/28/2022] Open
Affiliation(s)
- M A Flores-Terry
- Servicio de Dermatología, Hospital General Universitario de Ciudad Real, Ciudad Real, España.
| | - J L Sanz-Trenado
- Servicio de Anatomía Patológica, Hospital General Universitario de Ciudad Real, Ciudad Real, España
| | - M García-Arpa
- Servicio de Dermatología, Hospital General Universitario de Ciudad Real, Ciudad Real, España
| | - M P Cortina-de la Calle
- Servicio de Dermatología, Hospital General Universitario de Ciudad Real, Ciudad Real, España
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