Variant of Congenital Self-healing liceloMstiocytosis: Solitary HasMmoto-Pritzker Disease

نویسندگان

  • Timothy G. Berger
  • Alfred T. Lane
  • Marc W. Levin
  • Joel L. Schwartz
چکیده

Four neonates had solitary, congenital, rapidly growing, spontaneously ulcerating tumors of the face, trunk, and extremities. No extracutaneous involvement was found, and all lesions spontaneously involuted. Mononuclear cells of the cutaneous infiltrate were Langerhans' cells. These findings expand the spectrum of congenital self-healing reticulohistiocytosis. The Langerhans' cells (LC), dendritic cells primarily located in the epidermis and some other epitheiia, can be regarded as members of the mononuclear-phagocyte system. One of their functions is to present selected antigens to T lymphocytes (1,2). Disorders of Langerhans' cells have been difficult to study, since LC are not specifically identifiable in routine histologic material. Histiocytosis X (3) in all its forms and congenital self-healing reticulohistiocytosis (CSHR) (4-10) are the only two diseases identified to date as proliferations of the cells. Cutaneous lesions in both conditions usually are multiple. We observed four neonates with solitary, ulcerating, congenital tumors containing Langerhans' cells that subsequently have followed a benign course.

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تاریخ انتشار 2005