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2019, Number 4

Rev Fac Med UNAM 2019; 62 (4)

Langerhans’ cell histiocytosis in their orbitfocused presentation. Review of the topic regarding a case

Dávila MR, Figueroa FA, Ontiveros VF, Urbina SA
Full text How to cite this article

Language: Spanish
References: 7
Page: 30-34
PDF size: 240.12 Kb.


Key words:

Langerhans cell histiocytosis, proptosis, orbital neoplasm, exophthalmos, diabetes Insipidus.

ABSTRACT

Objective: To describe a case of Langerhans cell histiocytosis in a pediatric patient.
Method: A 4-year-old patient with proptosis, diplopia, fever and loss of visual acuity, with evident image in a computed tomography of orbital mass with bone erosion. An excisional biopsy was performed by coronal craniotomy. The histopathological result was Langerhans cell histiocytosis.
Results: The anatomopathological study showed a neoplasm of small round and blue cells, compatible with Rhabdomyosarcoma. Immunohistochemical tests concluded the diagnosis of Langerhans cell histiocytosis.
Conclusion: Langerhans cell histiocytosis is a rare disease that requires clinical suspicion and a timely diagnosis to adjust the treatment and improve the survival of patients.


REFERENCES

  1. Vosoghi H, Rodriguez-Galindo C, Wilson MW. Orbital involvement in langerhans cell histiocytosis. Ophthal Plast Reconstr Surg. 2009;25(6):430-3.

  2. Abdellaoui M, Benatiya AI, Bhallil S, Tahri H. Orbital location of multivisceral Langerhans-cell histiocytosis. Arch Pediatr. 2011;18(6):665-8.

  3. Badalian-Very G, Vergilio JA, Degar BA, Rodriguez-Galindo C, Rollins BJ. Recent advances in the understanding of Langerhans cell histiocytosis. Br J Haematol. 2012; 156(2):163-72.

  4. Herwig MC, Wojno T, Zhang Q, Grossniklaus HE. Langerhans cell histiocytosis of the orbit: five clinicopathologic cases and review of the literature. Surv Ophthalmol. 2013;58(4):330-40.

  5. Donadieu J, Heritier S. Child Langerhans cell histiocytosis. Presse Med. 2017;46(1):85-95.

  6. Abla O, Weitzman S, Minkov M, McClain KL, Visser J, Filipovich A, et al. Diabetes insipidus in Langerhans cell histiocytosis: When is treatment indicated? Pediatr Blood Cancer. 2009;52(5):555-6.

  7. Kriz J, Eich HT, Bruns F, Heyd R, Schafer U, Haverkamp U, et al. Radiotherapy in langerhans cell histiocytosis - a rare indication in a rare disease. Radiat Oncol. 2013;8:233. Histiocitosis de células de Langerhans http://doi.




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Rev Fac Med UNAM . 2019;62