The girl as delicate as a china doll: Hollie, 4, has bones as fragile as glass that can shatter with the slightest impact
Hollie Hunter from Chester-le-Street, County Durham, suffers from Langerhans' cell histiocytosis, which only affects one in 200,000 children.
Publication date: Available online 30 March 2020Source: Interdisciplinary NeurosurgeryAuthor(s): Zachary Gersey, Ian Zheng, Amade Bregy, Nitin Agarwal, Ricardo J. Komotar
Langerhans cell histiocytosis (LCH) is an uncommon hematologic condition resulting from neoplastic proliferation of antigen-presenting cells with characteristics of Langerhans cells. These cells can accumulate in many organs including skin, bone, liver, brain and lung. Bone lesions are reported in 80% of cases of LCH. A diagnosis is made via histopathological analysis of lesions. LCH may present with single-system or multi-system lesions and lesions may be unifocal or multifocal. It is more common in children than adults.
Publication date: March–April 2020Source: Brazilian Journal of Otorhinolaryngology, Volume 86, Issue 2Author(s): Onur Ismı, Rabia Bozdogan Arpaci, Anıl Ozgur, Elvan Caglar Citak, Neslihan Eti, Tugce Puturgeli, Yusuf Vayisoglu
We report 11 children with vertebral lesion of Langerhans cell histiocytosis (LCH) diagnosed and treated between 2000 and 2015. Vertebral lesions were usually present at LCH diagnosis. No child developed neurologic symptoms. Among 29 vertebral lesions, only 2 were unstable. Chemotherapy was used in all children but 3. A LCH recurrence was observed in 6 patients, involving vertebrae in 4 cases. All children were disease-free at their last follow-up. Sequelae were more often radiologic than clinical. Since potential recurrences and incomplete bone regeneration exist, discussion about optimal treatment and long-term follow-up...
We describe an 18-year-old woman with several month's history of a 12 x 7 mm palpable mammary nodule, that was hypoechoic, with regular margins and vascularization areas by ultrasound. A fibroadenoma was hypothesized (American College of Radiology BI-RADS 3). A 14 G needle biopsy was performed, showing a LC proliferation suspected for LCH of a lymph node, with florid dermatopathic lymphadenopathy in differential diagnosis. The multidisciplinary team of the breast clinic decided to perform a lumpectomy and a diagnosis of LCH involving an intra-mammary lymph node was made. Langerhans cells (LC) are dendritic cells characteri...
We report here findings of a series of FDG PET/CT scans during the course of clofarabine therapy in a 12-year-old girl with extracutaneous juvenile xanthogranuloma.
The clinical significance of the BRAFV600E mutation in adult Langerhans cell histiocytosis (LCH), including pulmonary Langerhans cell histiocytosis (PLCH), is not well understood. Similarly, the spectrum of molecular alterations involved in adult LCH has not been fully delineated. To address these issues, we genotyped a large number of adult LCH biopsies and searched for an association of identified molecular alterations with clinical presentation and disease outcome. Biopsies from 117 adult LCH patients, 83 with PLCH (median age 36.4 years, 56 females, 38 multisystem disease, 79 single system disease, 65 current smok...
Conclusion: For pediatric SSR lesions that first manifest as CDI, we should comprehensively consider clinical characteristics and imaging features to aid in their early differential diagnosis. Tumor markers and surgical histopathology are also great complements for the differential diagnosis. Additionally, various treatment strategies should be adopted according to different causes to improve the child's prognosis and quality of life.
Langerhans cell histiocytosis (LCH) is a benign disease that behaves malignantly. Early recognition and treatment of oral manifestation of LCH by pediatric dentist and other medical specialties is important to prevent further organ damage. AbstractLangerhans cell histiocytosis (LCH) is a benign disease that behaves malignantly. Early recognition and treatment of oral manifestation of LCH by pediatric dentist and other medical specialties is important to prevent further organ damage.
(American Friends of Tel Aviv University) Researchers at Tel Aviv University have identified a benign tumor found in a fossilized dinosaur tail as part of the pathology of LCH (Langerhans cell histiocytosis), a rare and sometimes painful disease that still afflicts humans, particularly children under the age of 10.