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1日龄女婴患朗格汉斯细胞组织细胞增多症:病例报告

Langerhans cell histiocytosis present in a 1-day-old girl: a case report.

作者信息

Meng Yang

机构信息

Department of Pediatrics, The First People's Hospital of Yancheng, Yancheng, Jiangsu Province, China.

出版信息

J Med Case Rep. 2025 Aug 15;19(1):406. doi: 10.1186/s13256-025-05485-8.

DOI:10.1186/s13256-025-05485-8
PMID:40817262
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12357455/
Abstract

BACKGROUND

Langerhans cell histiocytosis is a rare condition characterized by diverse clinical manifestations, ranging from cutaneous lesions to systemic involvement. Although Langerhans cell histiocytosis occurs infrequently in newborns, its diagnosis during this period presents significant challenges.

CASE PRESENTATION

A 1-day-old Chinese female infant presented with multiple red papules at birth and was diagnosed with Langerhans cell histiocytosis following a second skin biopsy. Despite symptomatic treatment, the child experienced recurrent fever and gastrointestinal bleeding. Tafinlar treatment was initiated at 2 months of age, which improved her symptoms.

CONCLUSION

Prompt identification of Langerhans cell histiocytosis in newborns remains challenging owing to the disease's complexity and varied clinical manifestations; thus, it is essential to advance pathological technologies for Langerhans cell histiocytosis detection.

摘要

背景

朗格汉斯细胞组织细胞增多症是一种罕见疾病,其临床表现多样,从皮肤病变到全身受累不等。尽管朗格汉斯细胞组织细胞增多症在新生儿中很少见,但在此期间进行诊断面临重大挑战。

病例介绍

一名1日龄中国女婴出生时出现多个红色丘疹,第二次皮肤活检后被诊断为朗格汉斯细胞组织细胞增多症。尽管进行了对症治疗,该患儿仍反复发热并出现胃肠道出血。2个月大时开始使用泰菲乐治疗,症状有所改善。

结论

由于该疾病的复杂性和临床表现多样,新生儿朗格汉斯细胞组织细胞增多症的及时诊断仍然具有挑战性;因此,推进朗格汉斯细胞组织细胞增多症检测的病理技术至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c47/12357455/3cd7a6cd0a72/13256_2025_5485_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c47/12357455/38158d936c5f/13256_2025_5485_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c47/12357455/f1e9ec32aee3/13256_2025_5485_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c47/12357455/3cd7a6cd0a72/13256_2025_5485_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c47/12357455/38158d936c5f/13256_2025_5485_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c47/12357455/f1e9ec32aee3/13256_2025_5485_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c47/12357455/3cd7a6cd0a72/13256_2025_5485_Fig3_HTML.jpg

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