Boutsen Y, Esselinckx W, Delos M, Nisolle J F
Department of Rheumatology, Louvain University Hospital in Mont-Godinne, Yvoir, Belgium.
Clin Rheumatol. 1999;18(1):69-73. doi: 10.1007/s100670050058.
We report a case of multifocal-monosystemic Langerhans cell histiocytosis (LCH), formerly usually referred to as eosinophilic granuloma (EG) of bone. The condition developed in a 36-year-old man. A notable infrequent thoracic spine location and two successive distinct costal lesions were observed. Both the first costal site and the vertebral location healed spontaneously; the second costal lesion underwent biopsy resection. The patient's disease course with an 8-year follow-up is discussed with reference to various treatment options, emphasising in selected cases a watchful conservative approach, in view of the widely documented potential for spontaneous healing.
我们报告一例多灶性单系统朗格汉斯细胞组织细胞增多症（LCH），以前通常称为骨嗜酸性肉芽肿（EG）。该病例发生在一名36岁男性身上。观察到一个不常见的胸椎部位以及两个连续的不同肋骨病变。第一肋骨部位和椎体部位均自行愈合；第二个肋骨病变进行了活检切除。结合各种治疗选择讨论了该患者长达8年随访的病程，鉴于有大量文献记载的自发愈合可能性，在某些病例中强调了谨慎的保守方法。
