In reference to Histiocytosis X as a controversial term, and analysis is submitted to underline lack of linkage between clinico-histological aspects in the Letterer-Siwe (LS) and Hand Schüller Christian (HSC) alterations. As pointed out, the HSC denomination tends to disappear, while debate becomes more difficult around the LS phenomena. A definition is offered to delimit more precisely the two clinical entities in question.
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Spine Surg Relat Res
November 2024
Department of Orthopaedics, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
Introduction: Adult spinal Langerhans cell histiocytosis (LCH) presents a treatment challenge due to ongoing controversies. Traditional approaches such as curettage with bone grafting and internal fixation are preferred for severe cases involving mechanical instability, neurological deficits, or deformity. This study aimed to explore the efficacy of a customized approach involving simple posterior instrumentation without curettage or bone grafting in treating adult spinal LCH.
View Article and Find Full Text PDFCan J Ophthalmol
October 2024
Adnexal Department, Moorfields Eye Hospital, London, United Kingdom.
Objective: To describe the clinical, imaging characteristics, and treatment of pediatric orbital Langerhans cell histiocytosis (LCH).
Design: Retrospective case series.
Participants: Children with orbital LCH.
Blood
November 2024
Department of General Practice, Beijing Friendship Hospital, Capital Medical University, Beijing, China.
Orphanet J Rare Dis
November 2023
Department of Pediatric Oncology, Children Cancer Hospital Egypt 57357 1 (11617), Sekket Al-Imam St., Al Sayyeda Zeinab, Cairo, 11617, Egypt.
Background: The pediatric pulmonary multisystem Langerhans cell histiocytosis (PPM LCH) is associated with either low risk or high risk organ(s). The nodulo-cystic lung lesions although pathognomonic, yet are very variable in severity and remain a source of controversy in certifying pulmonary LCH diagnosis. The study aimed to examine the prognostic value of clinical respiratory manifestations and radiological lung lesions severity.
View Article and Find Full Text PDFSinus histiocytosis or Rosai-Dorfman disease (RDD) is a rare disorder with severe lymphadenopathy and a limited clinical course, the aetiology of which is still controversial. The disease usually affects cervical nodes, with fever, polyclonal gammopathy, and leucocytosis with neutrophilia. Pure cutaneous involvement occurs as the only manifestation in only 3% of cases.
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