Langerhans’s cell histiocytosis in old subjects: two rare case reports and review of the literature
Identifieur interne : 001612 ( Istex/Corpus ); précédent : 001611; suivant : 001613Langerhans’s cell histiocytosis in old subjects: two rare case reports and review of the literature
Auteurs : Carlo Lajolo ; Giuseppina Campisi ; Giorgio Deli ; Cristiano Littarru ; Rosario Guiglia ; Michele GiulianiSource :
- Gerodontology [ 0734-0664 ] ; 2012-06.
English descriptors
- KwdEn :
- Adult onset, Adult patients, Biopsy, Birbeck granules, Blood exams, Bone biopsy, Bone lesions, Bone marrow biopsy, Bone tissue pattern, Caucasian woman, Cd1a, Cell histiocytosis, Cleft nuclei, Clinical appearance, Clinical presentation, Complete change, Complete recovery, Consecutive days, Correct diagnosis, Diabetes insipidus, Eccentric position, Edentulous ridge, Eosinophilic cytoplasm, Erythematous mucosal lesion, Genital vulvar lesion, Gerodontology, Gerodontology society, Gingival mucosa, Histiocyte, Histiocyte society, Histiocytosis, Hyperchromic nuclei, Immunohistochemical assay, Immunohistochemical staining, Immunohistochemistry, Immunohistochemistry techniques cd1a, International registry, Interquartile ranges, Intraoral examination, John wiley sons gerodontology, Langerhans, Langerhans cell histiocytosis, Langerhans cell histiocytosis lesions, Langerhans cells, Langerin, Lesion, Localised areas, Lower right, Median latency time, Medical history, Molar, Months duration, Mucosal biopsy, Nuclear atypias, Oromaxillofacial region, Palatal mucosa, Palate, Panoramic radiograph, Pathology report, Pediatr blood cancer, Periapical radiolucency, Proliferative disease, Radiolucent areas, Rare case reports, Relapse, Right palate, Root canal, Routine blood tests, Same time, Second case, Several relapses, Soft tissues, Steroid therapy, Study group, Systemic chemotherapy, Teeth number, Tender elastics, Tooth number.
- Teeft :
- Adult onset, Adult patients, Biopsy, Birbeck granules, Blood exams, Bone biopsy, Bone lesions, Bone marrow biopsy, Bone tissue pattern, Caucasian woman, Cd1a, Cell histiocytosis, Cleft nuclei, Clinical appearance, Clinical presentation, Complete change, Complete recovery, Consecutive days, Correct diagnosis, Diabetes insipidus, Eccentric position, Edentulous ridge, Eosinophilic cytoplasm, Erythematous mucosal lesion, Genital vulvar lesion, Gerodontology, Gerodontology society, Gingival mucosa, Histiocyte, Histiocyte society, Histiocytosis, Hyperchromic nuclei, Immunohistochemical assay, Immunohistochemical staining, Immunohistochemistry, Immunohistochemistry techniques cd1a, International registry, Interquartile ranges, Intraoral examination, John wiley sons gerodontology, Langerhans, Langerhans cell histiocytosis, Langerhans cell histiocytosis lesions, Langerhans cells, Langerin, Lesion, Localised areas, Lower right, Median latency time, Medical history, Molar, Months duration, Mucosal biopsy, Nuclear atypias, Oromaxillofacial region, Palatal mucosa, Palate, Panoramic radiograph, Pathology report, Pediatr blood cancer, Periapical radiolucency, Proliferative disease, Radiolucent areas, Rare case reports, Relapse, Right palate, Root canal, Routine blood tests, Same time, Second case, Several relapses, Soft tissues, Steroid therapy, Study group, Systemic chemotherapy, Teeth number, Tender elastics, Tooth number.
Abstract
doi: 10.1111/j.1741‐2358.2012.00629.x
Url:
DOI: 10.1111/j.1741-2358.2012.00629.x
Links to Exploration step
ISTEX:2D6D10D9B68BF7AFF790B6B998C73664F8494900Le document en format XML
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Margiotta”, University of Palermo, Palermo, Italy</mods:affiliation></affiliation></author><author><name sortKey="Deli, Giorgio" sort="Deli, Giorgio" uniqKey="Deli G" first="Giorgio" last="Deli">Giorgio Deli</name><affiliation><mods:affiliation>School of Dentistry, Catholic University, Largo A. Gemelli, Rome, Italy</mods:affiliation></affiliation></author><author><name sortKey="Littarru, Cristiano" sort="Littarru, Cristiano" uniqKey="Littarru C" first="Cristiano" last="Littarru">Cristiano Littarru</name><affiliation><mods:affiliation>School of Dentistry, Catholic University, Largo A. Gemelli, Rome, Italy</mods:affiliation></affiliation></author><author><name sortKey="Guiglia, Rosario" sort="Guiglia, Rosario" uniqKey="Guiglia R" first="Rosario" last="Guiglia">Rosario Guiglia</name><affiliation><mods:affiliation>Department of Surgery and Oncology Disciplines, Sector of Oral Medicine “V. 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Gemelli</json:string><json:string>Giuseppina Campisi</json:string><json:string>Michele Giuliani</json:string><json:string>Bartnick</json:string><json:string>John Wiley</json:string><json:string>V. Margiotta</json:string><json:string>Rosario Guiglia</json:string><json:string>Gerodontology Society</json:string><json:string>Clinic</json:string><json:string>Cristian Miranda</json:string><json:string>Case</json:string><json:string>Cristiano Littarru</json:string></persName><placeName><json:string>Palermo</json:string><json:string>Italy</json:string></placeName><ref_url></ref_url><ref_bibl><json:string>September 2004</json:string><json:string>April 2006</json:string><json:string>October 2003</json:string><json:string>C. 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Gemelli, Rome, Italy<address><country key="IT"></country></address></affiliation></author><author xml:id="author-0001"><persName><forename type="first">Giuseppina</forename><surname>Campisi</surname></persName><affiliation>Department of Surgery and Oncology Disciplines, Sector of Oral Medicine “V. Margiotta”, University of Palermo, Palermo, Italy<address><country key="IT"></country></address></affiliation></author><author xml:id="author-0002"><persName><forename type="first">Giorgio</forename><surname>Deli</surname></persName><affiliation>School of Dentistry, Catholic University, Largo A. Gemelli, Rome, Italy<address><country key="IT"></country></address></affiliation></author><author xml:id="author-0003"><persName><forename type="first">Cristiano</forename><surname>Littarru</surname></persName><affiliation>School of Dentistry, Catholic University, Largo A. Gemelli, Rome, Italy<address><country key="IT"></country></address></affiliation></author><author xml:id="author-0004"><persName><forename type="first">Rosario</forename><surname>Guiglia</surname></persName><affiliation>Department of Surgery and Oncology Disciplines, Sector of Oral Medicine “V. Margiotta”, University of Palermo, Palermo, Italy<address><country key="IT"></country></address></affiliation></author><author xml:id="author-0005"><persName><forename type="first">Michele</forename><surname>Giuliani</surname></persName><affiliation>School of Dentistry, Catholic University, Largo A. Gemelli, Rome, Italy<address><country key="IT"></country></address></affiliation></author><idno type="istex">2D6D10D9B68BF7AFF790B6B998C73664F8494900</idno><idno type="ark">ark:/67375/WNG-4PF7QQPN-8</idno><idno type="DOI">10.1111/j.1741-2358.2012.00629.x</idno><idno type="unit">GER629</idno><idno type="toTypesetVersion">file:GER.GER629.pdf</idno></analytic><monogr><title level="j" type="main">Gerodontology</title><title level="j" type="alt">GERODONTOLOGY</title><idno type="pISSN">0734-0664</idno><idno type="eISSN">1741-2358</idno><idno type="book-DOI">10.1111/(ISSN)1741-2358</idno><idno type="book-part-DOI">10.1111/ger.2012.29.issue-2</idno><idno type="product">GER</idno><idno type="publisherDivision">ST</idno><imprint><biblScope unit="vol">29</biblScope><biblScope unit="issue">2</biblScope><biblScope unit="page" from="e1207">e1207</biblScope><biblScope unit="page" to="e1214">e1214</biblScope><biblScope unit="page-count">8</biblScope><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="2012-06"></date></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><abstract xml:lang="en" style="main"><p><hi rend="italic">doi: 10.1111/j.1741‐2358.2012.00629.x</hi></p><p><hi rend="bold">Langerhans’s cell histiocytosis in old subjects: two rare case reports and review of the literature</hi></p><p><hi rend="bold">Background: </hi> Langerhans cell histiocytosis (LCH) is a proliferative disease of histiocyte‐like cells that generally affects children; LCH onset is rare in adults; immunohistochemistry is essential to obtain the correct diagnosis, and treatment protocols are controversial.</p><p><hi rend="bold">Objective: </hi> To describe two new cases of adult onset oral LCH.</p><p><hi rend="bold">Case reports: </hi> Case 1: a 71‐year‐old woman, complaining of diffuse oral pain, presented with erythematous mucosal lesions; the panoramic radiograph and CT scan showed multiple mandible radiolucent areas. Immunohistochemical assay for S‐100, CD1a and langerin test was essential in reaching the correct diagnosis. Case 2: a 77‐year‐old female patient presented with a non‐painful, non‐bleeding, slightly elevated erythematous palatal lesion of 6 months duration, together with a genital vulvar lesion of uncertain nature. The pathology confirmed the diagnosis of LCH. Many therapies (etoposid, radiotherapy) could induce only a clinical partial remission; Cladribine induced a complete recovery.</p><p><hi rend="bold">Conclusion: </hi> The first case was difficult to diagnose: the clinical presentation and course of the disease (LCH) in the elderly are multiple and unpredictable. An immunohistochemistry study is often essential to obtain the correct diagnosis. The second case required several therapeutic interventions: even though some cases regress spontaneously, others require systemic chemotherapy.</p></abstract><textClass><keywords xml:lang="en"><term xml:id="k1">langerhans’s cell histiocytosis</term><term xml:id="k2">old subjects</term><term xml:id="k3">langerin</term><term xml:id="k4">oral</term><term xml:id="k5">immunohistochemistry</term></keywords><keywords rend="tocHeading1"><term>Case Reports</term></keywords><keywords rend="articleCategory"><term>Case report</term></keywords></textClass><langUsage><language ident="en"></language></langUsage></profileDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/2D6D10D9B68BF7AFF790B6B998C73664F8494900/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>Blackwell Publishing Ltd</publisherName><publisherLoc>Oxford, UK</publisherLoc></publisherInfo><doi origin="wiley" registered="yes">10.1111/(ISSN)1741-2358</doi><issn type="print">0734-0664</issn><issn type="electronic">1741-2358</issn><idGroup><id type="product" value="GER"></id><id type="publisherDivision" value="ST"></id></idGroup><titleGroup><title type="main" sort="GERODONTOLOGY">Gerodontology</title></titleGroup></publicationMeta><publicationMeta level="part" position="06102"><doi origin="wiley">10.1111/ger.2012.29.issue-2</doi><numberingGroup><numbering type="journalVolume" number="29">29</numbering><numbering type="journalIssue" number="2">2</numbering></numberingGroup><coverDate startDate="2012-06">June 2012</coverDate></publicationMeta><publicationMeta level="unit" type="caseStudy" position="193" status="forIssue"><doi origin="wiley">10.1111/j.1741-2358.2012.00629.x</doi><idGroup><id type="unit" value="GER629"></id></idGroup><countGroup><count type="pageTotal" number="8"></count></countGroup><titleGroup><title type="tocHeading1"><i>Case Reports</i></title><title type="articleCategory"><i>Case report</i></title></titleGroup><copyright>© 2012 The Gerodontology Society and John Wiley & Sons A/S</copyright><eventGroup><event type="xmlConverted" agent="Converter:BPG_TO_WML3G version:3.1.6 mode:FullText" date="2012-08-17"></event><event type="publishedOnlineFinalForm" date="2012-05-22"></event><event type="firstOnline" date="2012-05-22"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:3.8.8" date="2014-01-26"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.3.4 mode:FullText" date="2015-02-25"></event></eventGroup><numberingGroup><numbering type="pageFirst">e1207</numbering><numbering type="pageLast">e1214</numbering></numberingGroup><correspondenceTo>Dr. Carlo Lajolo, Dental School, Largo A. Gemelli, 8; 00168 Rome, Italy.
Tel.: +39 06 3051159
Fax: +39 06 3051159
E‐mail: <email>clajolo@hotmail.com</email></correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:GER.GER629.pdf"></link></linkGroup></publicationMeta><contentMeta><unparsedEditorialHistory>Accepted 4 September 2011</unparsedEditorialHistory><countGroup><count type="figureTotal" number="5"></count><count type="tableTotal" number="0"></count></countGroup><titleGroup><title type="main">Langerhans’s cell histiocytosis in old subjects: two rare case reports and review of the literature</title><title type="shortAuthors"><i>C. Lajolo et al.</i></title><title type="short"><i>Langerhans’s cell histiocytosis</i></title></titleGroup><creators><creator creatorRole="author" xml:id="cr1" affiliationRef="#a1"><personName><givenNames>Carlo</givenNames><familyName>Lajolo</familyName></personName></creator><creator creatorRole="author" xml:id="cr2" affiliationRef="#a2"><personName><givenNames>Giuseppina</givenNames><familyName>Campisi</familyName></personName></creator><creator creatorRole="author" xml:id="cr3" affiliationRef="#a1"><personName><givenNames>Giorgio</givenNames><familyName>Deli</familyName></personName></creator><creator creatorRole="author" xml:id="cr4" affiliationRef="#a1"><personName><givenNames>Cristiano</givenNames><familyName>Littarru</familyName></personName></creator><creator creatorRole="author" xml:id="cr5" affiliationRef="#a2"><personName><givenNames>Rosario</givenNames><familyName>Guiglia</familyName></personName></creator><creator creatorRole="author" xml:id="cr6" affiliationRef="#a1"><personName><givenNames>Michele</givenNames><familyName>Giuliani</familyName></personName></creator></creators><affiliationGroup><affiliation xml:id="a1" countryCode="IT"><unparsedAffiliation>School of Dentistry, Catholic University, Largo A. Gemelli, Rome, Italy</unparsedAffiliation></affiliation><affiliation xml:id="a2" countryCode="IT"><unparsedAffiliation>Department of Surgery and Oncology Disciplines, Sector of Oral Medicine “V. Margiotta”, University of Palermo, Palermo, Italy</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en"><keyword xml:id="k1">langerhans’s cell histiocytosis</keyword><keyword xml:id="k2">old subjects</keyword><keyword xml:id="k3">langerin</keyword><keyword xml:id="k4">oral</keyword><keyword xml:id="k5">immunohistochemistry</keyword></keywordGroup><abstractGroup><abstract type="main" xml:lang="en"><p><i>doi: 10.1111/j.1741‐2358.2012.00629.x</i></p><p><b>Langerhans’s cell histiocytosis in old subjects: two rare case reports and review of the literature</b></p><p><b>Background: </b> Langerhans cell histiocytosis (LCH) is a proliferative disease of histiocyte‐like cells that generally affects children; LCH onset is rare in adults; immunohistochemistry is essential to obtain the correct diagnosis, and treatment protocols are controversial.</p><p><b>Objective: </b> To describe two new cases of adult onset oral LCH.</p><p><b>Case reports: </b> Case 1: a 71‐year‐old woman, complaining of diffuse oral pain, presented with erythematous mucosal lesions; the panoramic radiograph and CT scan showed multiple mandible radiolucent areas. Immunohistochemical assay for S‐100, CD1a and langerin test was essential in reaching the correct diagnosis. Case 2: a 77‐year‐old female patient presented with a non‐painful, non‐bleeding, slightly elevated erythematous palatal lesion of 6 months duration, together with a genital vulvar lesion of uncertain nature. The pathology confirmed the diagnosis of LCH. Many therapies (etoposid, radiotherapy) could induce only a clinical partial remission; Cladribine induced a complete recovery.</p><p><b>Conclusion: </b> The first case was difficult to diagnose: the clinical presentation and course of the disease (LCH) in the elderly are multiple and unpredictable. An immunohistochemistry study is often essential to obtain the correct diagnosis. The second case required several therapeutic interventions: even though some cases regress spontaneously, others require systemic chemotherapy.</p></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Langerhans’s cell histiocytosis in old subjects: two rare case reports and review of the literature</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>Langerhans’s cell histiocytosis</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Langerhans’s cell histiocytosis in old subjects: two rare case reports and review of the literature</title></titleInfo><name type="personal"><namePart type="given">Carlo</namePart><namePart type="family">Lajolo</namePart><affiliation>School of Dentistry, Catholic University, Largo A. Gemelli, Rome, Italy</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Giuseppina</namePart><namePart type="family">Campisi</namePart><affiliation>Department of Surgery and Oncology Disciplines, Sector of Oral Medicine “V. Margiotta”, University of Palermo, Palermo, Italy</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Giorgio</namePart><namePart type="family">Deli</namePart><affiliation>School of Dentistry, Catholic University, Largo A. Gemelli, Rome, Italy</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Cristiano</namePart><namePart type="family">Littarru</namePart><affiliation>School of Dentistry, Catholic University, Largo A. Gemelli, Rome, Italy</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Rosario</namePart><namePart type="family">Guiglia</namePart><affiliation>Department of Surgery and Oncology Disciplines, Sector of Oral Medicine “V. Margiotta”, University of Palermo, Palermo, Italy</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Michele</namePart><namePart type="family">Giuliani</namePart><affiliation>School of Dentistry, Catholic University, Largo A. Gemelli, Rome, Italy</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="case-report" displayLabel="caseStudy" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-29919SZJ-6">case-report</genre><originInfo><publisher>Blackwell Publishing Ltd</publisher><place><placeTerm type="text">Oxford, UK</placeTerm></place><dateIssued encoding="w3cdtf">2012-06</dateIssued><edition>Accepted 4 September 2011</edition><copyrightDate encoding="w3cdtf">2012</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><extent unit="figures">5</extent><extent unit="tables">0</extent></physicalDescription><abstract>doi: 10.1111/j.1741‐2358.2012.00629.x</abstract><abstract>Langerhans’s cell histiocytosis in old subjects: two rare case reports and review of the literature</abstract><abstract>Background: Langerhans cell histiocytosis (LCH) is a proliferative disease of histiocyte‐like cells that generally affects children; LCH onset is rare in adults; immunohistochemistry is essential to obtain the correct diagnosis, and treatment protocols are controversial.</abstract><abstract>Objective: To describe two new cases of adult onset oral LCH.</abstract><abstract>Case reports: Case 1: a 71‐year‐old woman, complaining of diffuse oral pain, presented with erythematous mucosal lesions; the panoramic radiograph and CT scan showed multiple mandible radiolucent areas. Immunohistochemical assay for S‐100, CD1a and langerin test was essential in reaching the correct diagnosis. Case 2: a 77‐year‐old female patient presented with a non‐painful, non‐bleeding, slightly elevated erythematous palatal lesion of 6 months duration, together with a genital vulvar lesion of uncertain nature. The pathology confirmed the diagnosis of LCH. Many therapies (etoposid, radiotherapy) could induce only a clinical partial remission; Cladribine induced a complete recovery.</abstract><abstract>Conclusion: The first case was difficult to diagnose: the clinical presentation and course of the disease (LCH) in the elderly are multiple and unpredictable. An immunohistochemistry study is often essential to obtain the correct diagnosis. The second case required several therapeutic interventions: even though some cases regress spontaneously, others require systemic chemotherapy.</abstract><subject lang="en"><genre>keywords</genre><topic>langerhans’s cell histiocytosis</topic><topic>old subjects</topic><topic>langerin</topic><topic>oral</topic><topic>immunohistochemistry</topic></subject><relatedItem type="host"><titleInfo><title>Gerodontology</title></titleInfo><genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><subject><genre>article-category</genre><topic>Case report</topic></subject><identifier type="ISSN">0734-0664</identifier><identifier type="eISSN">1741-2358</identifier><identifier type="DOI">10.1111/(ISSN)1741-2358</identifier><identifier type="PublisherID">GER</identifier><part><date>2012</date><detail type="volume"><caption>vol.</caption><number>29</number></detail><detail type="issue"><caption>no.</caption><number>2</number></detail><extent unit="pages"><start>e1207</start><end>e1214</end><total>8</total></extent></part></relatedItem><identifier type="istex">2D6D10D9B68BF7AFF790B6B998C73664F8494900</identifier><identifier type="ark">ark:/67375/WNG-4PF7QQPN-8</identifier><identifier type="DOI">10.1111/j.1741-2358.2012.00629.x</identifier><identifier type="ArticleID">GER629</identifier><accessCondition type="use and reproduction" contentType="copyright">© 2012 The Gerodontology Society and John Wiley & Sons A/S</accessCondition><recordInfo><recordContentSource authority="ISTEX" authorityURI="https://loaded-corpus.data.istex.fr" valueURI="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-L0C46X92-X">wiley</recordContentSource><recordOrigin>Blackwell Publishing Ltd</recordOrigin></recordInfo></mods><json:item><extension>json</extension><original>false</original><mimetype>application/json</mimetype><uri>https://api.istex.fr/document/2D6D10D9B68BF7AFF790B6B998C73664F8494900/metadata/json</uri></json:item></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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