Keywords
s Langerhans cells histiocytosis; Acquired meningocoele, Punched out lesions; Unifocal polyostotic LCH
Abstract
Langerhans cells histiocytosis is a relatively common ailment in pediatric age group. Common presentations include bone pain, pathological fractures, skin and scalp eruptions, features of pancytopenia and lymphadenopathy. Sometimes there can be chronic cough and shortness of breath due to lung infiltration. Acquired meningocoele is a rare presenting feature for this disease. Here we present one such case of unifocalpolyostotic Langerhans cells histiocytosis in a 16 year old male patient who had acquired a meningocele. Investigations showed multiple punched out lesions in skull and lytic lesions in several bones but the lung field was cleared. Biopsy and histochemistry confirmed the diagnosis. However the child was found to be HIV positive for which treatment was started but he developed renal failure due to hypercalcemia and died.
Citation
Sengupta S and Bose S. Acquired Meningocoele due to Langerhans Cell Histiocytosis. SM J Pediatr. 2018; 3(1): 1016.