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伪装成苔藓样疹的朗格汉斯细胞组织细胞增多症

Langerhans cell histiocytosis disguised as lichenoid eruption.

作者信息

Alheggi Ashjan

机构信息

Department of Dermatology, College of Medicine, Imam Mohammad Ibn Saud Islamic University (IMSIU), Riyadh P.O. Box 7544, Saudi Arabia.

出版信息

Oxf Med Case Reports. 2025 Jul 27;2025(7):omaf106. doi: 10.1093/omcr/omaf106. eCollection 2025 Jul.

DOI:10.1093/omcr/omaf106
PMID:40718533
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12296336/
Abstract

Langerhans cell histiocytosis (LCH) is an inflammatory clonal proliferative neoplasm of immature myeloid precursor cells. These cells can accumulate in various tissues including skin, leading to tissue damage, and in some cases organ dysfunction. Herein, a report of a 1-year-old girl who presented with multiple lichenoid pinkish to purplish flat-topped papules, some of them were crusted and linear over the trunk mimicking lichen planus. The histopathologic and immunohistochemical staining confirmed the diagnosis of LCH. Awareness about this rare entity is important for early detection, timely intervention, and effective management.

摘要

朗格汉斯细胞组织细胞增多症(LCH)是一种未成熟髓样前体细胞的炎性克隆性增殖性肿瘤。这些细胞可积聚在包括皮肤在内的各种组织中,导致组织损伤,在某些情况下还会引起器官功能障碍。在此,报告一名1岁女童,其躯干出现多个苔藓样粉红色至紫色扁平丘疹,部分有结痂且呈线状,类似扁平苔藓。组织病理学和免疫组化染色确诊为LCH。认识这种罕见疾病对于早期发现、及时干预和有效管理至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b616/12296336/066e4f321d9d/omaf106f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b616/12296336/275fad6e31f5/omaf106f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b616/12296336/f1849bf2786b/omaf106f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b616/12296336/5b0d9e978907/omaf106f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b616/12296336/b8f9594423bc/omaf106f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b616/12296336/066e4f321d9d/omaf106f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b616/12296336/275fad6e31f5/omaf106f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b616/12296336/f1849bf2786b/omaf106f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b616/12296336/5b0d9e978907/omaf106f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b616/12296336/b8f9594423bc/omaf106f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b616/12296336/066e4f321d9d/omaf106f5.jpg

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本文引用的文献

1
Clinicogenomic associations in childhood Langerhans cell histiocytosis: an international cohort study.儿童朗格汉斯细胞组织细胞增生症的临床基因组关联:一项国际队列研究。
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Langerhans cell histiocytosis in children: A retrospective case series of 126 cases.儿童朗格汉斯细胞组织细胞增多症:126例回顾性病例系列研究
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