Document Detail


Extraosseous langerhans cell histiocytosis in children.
MedLine Citation:
PMID:  18480480     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Langerhans cell histiocytosis, a rare disease that occurs mainly in children, may produce a broad range of manifestations, from a single osseous lesion to multiple lesions involving more than one organ or system. The clinical course varies widely in relation to the patient's age. Multisystem disease may demonstrate especially aggressive behavior in very young children, with the outcome depending largely on the stage of disease and the degree of related organ dysfunction at the time of diagnosis. Extraosseous manifestations are less commonly seen than osseous ones and may be more difficult to identify. To accurately detect extraosseous Langerhans cell histiocytosis at an early stage, radiologists must recognize the significance of individual clinical and laboratory findings as well as the relevance of imaging features for the differential diagnosis. The pattern and severity of pulmonary, thymic, hepatobiliary, splenic, gastrointestinal, neurologic, mucocutaneous, soft-tissue (head and neck), and salivary involvement in Langerhans cell histiocytosis generally are well depicted with conventional radiography, ultrasonography, computed tomography, and magnetic resonance imaging. However, the imaging features are not pathognomonic, and a biopsy usually is necessary to establish a definitive diagnosis.
Authors:
Sabine Schmidt; Georg Eich; Anne Geoffray; Sylviane Hanquinet; Peter Waibel; Rainer Wolf; Igor Letovanec; Leonore Alamo-Maestre; Francois Gudinchet
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Radiographics : a review publication of the Radiological Society of North America, Inc     Volume:  28     ISSN:  1527-1323     ISO Abbreviation:  Radiographics     Publication Date:    2008 May-Jun
Date Detail:
Created Date:  2008-05-15     Completed Date:  2008-06-20     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8302501     Medline TA:  Radiographics     Country:  United States    
Other Details:
Languages:  eng     Pagination:  707-26; quiz 910-1     Citation Subset:  IM    
Copyright Information:
Copyright RSNA, 2008.
Affiliation:
Department of Diagnostic and Interventional Radiology, Centre Hospitalier Universitaire Vaudois-CHUV, Rue du Bugnon, 1011 Lausanne, Switzerland. sabine.schmidt@chuv.ch
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MeSH Terms
Descriptor/Qualifier:
Child, Preschool
Diagnostic Imaging / methods*
Female
Histiocytosis, Langerhans-Cell / diagnosis*
Humans
Image Enhancement / methods*
Male
Multiple Organ Failure / diagnosis*

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