Langerhans cell histiocytosis

Case contributed by Alex Lim Tat Leong
Diagnosis certain

Presentation

Scalp swelling, neck swelling, and fever. Full blood count yielded bicytopenia.

Patient Data

Age: 1 year
Gender: Male
x-ray

There are several well-defined punched out lesions involving the skull bone, one of which demonstrates bevelled edges. No skull fracture noted. 

Case Discussion

Classical skull radiograph for Langerhans cell histiocytosis. The patient also had cervical lymph nodes that were excised and sent for HPE which confirmed the diagnosis of Langerhans cell histiocytosis. 

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