Langerhan cell histiocytosis

Case contributed by Dr Ian Bickle

Presentation

Soft tissue lesions on scalp.

Patient Data

Age: 1 year
Gender: Female
X-ray

Multiple punched out lucent lesions in the skull.

The large parietal bone lesion has a bevelled edge.

Case Discussion

The typical patient demographic and radiological appearances of Langerhans cell histiocytosis.

The skull is by far the commonest site in the skeleton representing half of all lesions.

The bevelled edge is near pathognomonic of this aggressive multisystem disease of young children.

A digitized film from the Chesterfield Royal archive.

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Case information

rID: 82474
Published: 1st Oct 2020
Last edited: 1st May 2021
System: Paediatrics
Inclusion in quiz mode: Included

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