International Journal of Clinical Pediatric Dentistry

Register      Login

VOLUME 13 , ISSUE S1 ( Supplement Issue, 2020 ) > List of Articles

CASE REPORT

Langerhans’ Cell Histiocytosis Diagnosed through Periodontal Lesion in a 15-year-old Child: A Case Report

Rajeev Soangra, Anjali Kapoor, Deepak Meena, Bharat Sankhla

Citation Information :

DOI: 10.5005/jp-journals-10005-1875

License: CC BY-NC 4.0

Published Online: 01-12-2020

Copyright Statement:  Copyright © 2020; The Author(s).


Abstract

Langerhans’ cell histiocytosis (LCH) is a rare disease of the reticuloendothelial system in which there are abnormal proliferation and accumulation of histiocytes, abnormal cells deriving from bone marrow that can migrate from the skin to the lymph nodes. Langerhans’ cell histiocytosis has three variants: unifocal (eosinophilic granuloma), multifocal unisystem (Hand–Schuller–Christian triad), and multifocal multisystem (Letterer–Siwe disease). We present a case of oral lesions associated with LCH in a young male aged 15 years. The history, radiological appearance, histopathology, and treatment options of the patient are discussed.


PDF Share
  1. The Writing Group of the Histiocyte Society. Histiocytosis syndromes in children. Writing group of the Histiocyte Society. Lancet 1987;1(8526):208–209. DOI: 10.1016/S0140-6736(87)90016-X.
  2. Cotran RS, Kumar V, Abbas AK, et al. Robbins and Cotran pathologic basis of disease. St. Louis, Mo: Elsevier Saunders; 2005. p. 701. ISBN 0-8089-2302-1.
  3. Ladisch S. Histiocytosis syndromes of childhood. In: Kliegman RM, Stanton BF, St. Geme J, et al. Nelson textbook of pediatrics. 19th ed., Saunders; 2011. 1773–1777. ISBN 978-1-4377-0755-7.
  4. Kumar V, Abbas A, Aster J. Robbins and Cotran pathologic basis of disease. 9th ed., Philadelphia, PA: Elsevier; 2015. p. 622. ISBN 978-1-4557-2613-4.
  5. Langerhans Cell Histiocytosis at eMedicine.
  6. Minkov M. Multisystem Langerhans cell histiocytosis in children: current treatment and future directions. Paediatr Drugs 2011;13(2):75–86. DOI: 10.2165/11538540-000000000-00000.
  7. Lombardi T, Hauser C, Budtz-Jörgensen E. Langerhans’ cells: structure, function and role in oral pathological conditions. J Oral Pathol Med 1993;22(5):193–202. DOI: 10.1111/j.1600-0714.1993.tb01056.x.
  8. Muzzi L, Pini PGP, Ficarrat G. Langerhans cell histiocytosis diagnosed through periodontal lesions: a case report. J Periodontol 2002;73(12):1528–1533. DOI: 10.1902/jop.2002.73.12.1528.
  9. Manfredi M, Corradi D, Vescovi P. Langerhans cell histiocytosis: a clinical case without bone involvement. J Periodontol 2005;76(1):143–147. DOI: 10.1902/jop.2005.76.1.143.
  10. Piatelli A, Paolanonio M. Eosinophilic granuloma of the mandible involving the periodontal tissues. A case report. J Periodontol 1995;66(8):731–736. DOI: 10.1902/jop.1995.66.8.731.
  11. Artzi Z, Gorsky M, Raviv M. Periodontal manifestations of adult onset of histiocytosis X. J Periodontol 1989;60(1):57–66. DOI: 10.1902/jop.1989.60.1.57.
  12. Pierro J, Vaiselbuh SR. Adult Langerhans cell histiocytosis as a diagnostic pitfall. J Clin Oncol 2016;34:e41–e45.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.