Korean J Dermatol.
2001 Apr;39(4):459-462.
Langerhans Cell Histiocytosis Presenting as a Solitary Nodule
- Affiliations
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- 1Department of Dermatology, College of Medicine, Inha University, Inchon, Korea. inhadm@chollian.net
Abstract
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Langerhans cell histiocytosis, previously called histocytosis X, is a disease of unknown cause characterized by the proliferation of a distinct cell type that is S-100 and CD1a positive and contains cytoplasmic langerhans granules. We report a case of langerhans cell histiocytosis, which a 10-year-old girl presented as a solitary nodule without systemic involvement. Histologic examination of the nodule showed a dense dermal infiltrate of histiocytic cells with bean-shaped nuclei. These cells reacted with antibodies to S-100 and CD1a. Ultrastructural analysis showed Birbeck granules in the cytoplasm of the histiocytic cells. We confirmed langerhans cell histicytosis presenting as a solitary nodule by above findings.