Parimi LR, You J, Hong L, Zhang F. Congenital self-healing reticulohistiocytosis with spontaneous regression.
An Bras Dermatol 2017;
92:553-555. [PMID:
28954111 PMCID:
PMC5595609 DOI:
10.1590/abd1806-4841.20175432]
[Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2015] [Accepted: 03/06/2016] [Indexed: 11/22/2022] Open
Abstract
Congenital self-healing reticulohistiocytosis is a rare, benign, self-limiting
variant of Langerhans cell histiocytosis (LCH). LCH encompasses a group of
idiopathic disorders characterized by the clonal proliferation of Langerhans
cells. Congenital self-healing reticulohistiocytosis typically appears at birth
or in the neonatal period as isolated cutaneous lesions, often appearing as
multiple crusted papules with no systemic findings. Although clinical features
seem aggressive, the lesions tend to involute spontaneously within weeks to a
few months leaving residual hypo or hyperpigmented macules. Timely diagnosis
with histology, immunocytochemistry, and electron microscopic studies will
eliminate unnecessary therapeutic interventions. Although mostly self-resolving,
it carries a variable clinical course in some patients with cases of
extracutaneous involvement and/or recurrences. Hence, reassurance and long-term
follow-up play key roles in the management of this disease.
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