Langerhans cell histiocytosis with oral manifestations: a rare and unusual case report
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Yashoda Devi, B.K.; Rakesh, N.; Agarwal, Manjushree
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Aquest document és un/a article, creat/da en: 2012
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Langerhans cell histiocytosis (LCH), is a rare, proliferative disorder in which the accumulation of pathologic
Langerhans cells leads to local tissue infiltration and destruction. We present a case of a 32 years old, completely
edentulous female patient who presented with erythema of hard palate, maxillary alveolar mucosa and mucosa over
the distobuccal part of mandibular alveolar ridge with foci of ulcerations. Histopathologic features were suggestive
of LCH which was confirmed by immunohistochemistry which was CD1a positive, confirmatory for LCH. Bone
scan revealed multiple bone involvement. At this stage, disease had already progressed to multisystem involvement
with endocrinal abnormalities (primary hypothyroidism and hyperprolactinemia), requiring aggressive treatment.
Therefore, this case is a reminder of the possibility of occurrence of this rare disease in the oral cavity which might
manifest itself in multiple presentations thus easily leading to the misdiagnosis and therefore, it could be easily
overlooked by dentists.
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