Purely Cutaneous Langerhans' Cell Histiocytosis in an Adult Woman
doi: 10.2340/00015555-0614
Abstract:
Langerhans’ cell histiocytosis (LCH) is a clonal, histiocytic, proliferative disorder of unknown aetiology originating from Langerhans’ cells. Although the clinical presentation and therapeutic approach to the disease in
children have been well established, few data are available concerning the disease in adults. Moreover, unique
cutaneous involvement by LCH in a woman older than 70 years has been described very rarely. We report here a case of a 75-year-old woman with cutaneous LCH confined to the inframammary fold, and highlight some medical problems regarding the management of a purely cutaneous form of LCH in adults.
Authors:
Anna Campanati, Oriana Simonetti, Barbara Marconi, Katia Giuliodori, Giulia Ganzetti, Giuliano Brandozzi, Maria Luisa Bernardini, Renzo Ranaldi, Annamaria Offidani
Key words:
Langerhans’ cell histiocytosis; skin; elderly.
References
- Stockschlaeder M, Sucker C. Adult Langerhans cell histiocytosis. Eur J Haematol 2006; 76: 363–368. Link to article
- Munn S, Chu AC. Langerhans cell histiocytosis of the skin. Haematol Oncol Clin North Am 1998; 12: 269–286. Link to article
- Aydogan K, Tunali S, Koran Karadogan S, Balaban Adim S, Turan H. Adult-onset Langerhans cell histiocytosis confined to the skin. J Eur Acad Derm Venereol 2006; 20: 890–891.
- Chu T, D’Angio GJ, Favara B, Ladisch S, Nesbit M, Pritchard J. Writing Group of the Histiocyte Society. Histiocytosis syndromes in children. Lancet 1987; 24: 208–209.
- Imanaka A, Tarutani M, Itoh H, Kira M, Itami S. Langerhans cell histiocytosis involving the skin of an elderly woman: a satisfactory remission with oral prednisolone alone. J Dermatol 2004; 31: 1023–1026.
- Newman B, Weimin H, Nigro K, Gilliam AC. Aggressive histiocytic disorders that can involve the skin. J Am Acad Dermatol 2007; 56: 302–316.
- Baumgartner I, von Hochstetter A, Baumert B, Luetolf U, Follath F. Langerhans’-cell histiocytosis in adults. Med Pediatr Oncol 1997; 28: 9–14. Link to article
- Aricˆ¾ M, Girschikolfsky M, Gˆ©nˆ©reau T, Klersy C, McClain K, Grois N, et al. Langerhans cell histiocytosis in adults. Report from the International Registry of the Histiocyte Society. Eur J Cancer 2003; 39: 2341–2348. Link to article
- Odom RB, James WD, Berger TG, editors. Andrew’s disease of the skin. Philadelphia: WB Saunders Co. , 2000: p. 913–917.
- Szepietowski J, Toonstra J, Van der Putte SCJ, Tegelberg-Stassen MJAM, Van Vloten WA. Langerhans-cell histiocytosis in a nonagenarian: report of a case with literature review of patients older than 70 years. Eur J Dermatol 1994; 4: 216–220.
- Moravvej H, Yousefi M, Barikbin B. An unusual case of adult disseminate cutaneous Langerhans cell histiocytosis. Dermatol Online J 2006; 12: 13.
- Axiotis CA, Merino MJ, Duray PH. Langerhans cell histiocytosis of the female genital tract. Cancer 1991; 67: 1650–1660. Link to article
- Chu AC. The confusing state of the histiocytoses. Br J Dermatol 2000; 143: 475–476.