Case Report
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A great mimicker of mastoiditis: Multisystem Langerhans’ cell histiocytosis

Year 2020, , 296 - 299, 25.04.2020

Foong Seong Kın , Ong Cheng Aı , Faezahtul Arbaeyah Hussaın , Bee See Goh

https://doi.org/10.32448/entupdates.673014

Abstract

Langerhans’ cell histiocytosis (LCH) is a rare group of diseases characterized by abnormal clonal proliferation of Langerhans cells in one or more systems. LCH can occur in any system. We report a case of bilateral otologic LCH that presented as a case of mastoiditis. Despite multiple courses of antibiotics, there was no improvement. Subsequent excision biopsy of a postauricular mass confirmed the diagnosis of LCH. The patient responded well to chemotherapy.

Keywords

Histiocytosis Langerhans-Cell otological diseases mastoiditis

References

  • 1. Nicholson HS, Egeler RM, Nesbit ME. The epidemiology of Langerhans cell histiocytosis. Hematol Oncol Clin North Am 1998;12:379-84.
  • 2. Leung AKC, Lam JM, Leong KF. Childhood Langerhans cell histiocytosis: a disease with many faces. World J Pediatr 2019;15:536-45.
  • 3. Irving RM, Broadbent V, Jones NS. Langerhans’ cell histiocytosis in childhood: management of head and neck manifestations. Laryngoscope 1994;104:64-70.
  • 4. Saliba I, Sidani K, El Fata F, Arcand P, Quintal MC, Abela A. Langerhans’ cell histiocytosis of the temporal bone in children. Int J Pediatr Otorhinolaryngol 2008;72:775-86.
  • 5. Azouz EM, Saigal G, Rodriguez MM, Podda A. Langerhans’ cell histiocytosis:pathology, imaging and treatment of skeletal involvement. Pediatr Radiol 2005;35:103-15.
  • 6. Fernández-Latorre F, Menor-Serrano F, Alonso-Charterina S, Arenas-Jiménez J. Langerhans’ cell histiocytosis of the temporal bone in pediatric patients: imaging and follow-up. AJR Am J Roentgenol 2000;174:217-21.
  • 7. Howarth DM, Gilchrist GS, Mullan BP, Wiseman GA, Edmonson JH, Schomberg PJ. Langerhans cell histiocytosis: diagnosis, natural history, management, and outcome. Cancer 1999;85:2278-90.
  • 8. Minkov M. Multisystem Langerhans cell histiocytosis in children: current treatment and future directions. Paediatr Drugs 2011;13:75-86.
  • 9. Haupt R, Minkov M, Astigarraga I, et al. Langerhans cell histiocytosis (LCH): guidelines for diagnosis, clinical work-up, and treatment for patients till the age of 18 years. Pediatr Blood Cancer 2013;60:175-84.
  • 10. Goldsmith AJ, Myssiorek D, Valderrama E, Patel M. Unifocal Langerhans’ cell histiocytosis (eosinophilic granuloma) of the petrous apex. Arch Otolaryngol Head Neck Surg 1993;119:113-6.
  • 11. Hermans R, De Foer B, Smet MH, et al. Eosinophilic granuloma of the head and neck: CT and MRI features in three cases. Pediatr Radiol 1994;24:33-6.
  • 12. McCaffrey TV, McDonald TJ. Histiocytosis X of the ear and temporal bone: review of 22 cases. Laryngoscope 1979;89:1735-42.
  • 13. D’Ambrosio N, Soohoo S, Warshall C, Johnson A, Karimi S. Craniofacial and intracranial manifestations of langerhans cell histiocytosis: report of findings in 100 patients. AJR Am J Roentgenol 2008;191:589-97.
  • 14. Wenig BM, Abbondanzo SL, Childers EL, Kapadia SB, Heffner DR. Extranodal sinus histiocytosis with massive lymphadenopathy (Rosai-Dorfman disease) of the head and neck. Hum Pathol 1993;24:483-92.
  • 15. Lau SK, Chu PG, Weiss LM. Immunohistochemical expression of Langerin in Langerhans cell histiocytosis and non-Langerhans cell histiocytic disorders. Am J Surg Pathol 2008;32:615-9.
  • 16. Levy R, Sarfaty SM, Schindel J. Eosinophilic granuloma of the temporal bone. Two cases with bilateral involvement. Arch Otolaryngol 1980;106:167-71.
  • 17. Mardi K, Thakur RC, Negi L. Intradural Eosinophilic Granuloma Invading Skull: Case Report and Review of the Literature. Asian J Neurosurg 2017;12:698-700.

Year 2020, , 296 - 299, 25.04.2020

Foong Seong Kın , Ong Cheng Aı , Faezahtul Arbaeyah Hussaın , Bee See Goh

https://doi.org/10.32448/entupdates.673014

Abstract

References

  • 1. Nicholson HS, Egeler RM, Nesbit ME. The epidemiology of Langerhans cell histiocytosis. Hematol Oncol Clin North Am 1998;12:379-84.
  • 2. Leung AKC, Lam JM, Leong KF. Childhood Langerhans cell histiocytosis: a disease with many faces. World J Pediatr 2019;15:536-45.
  • 3. Irving RM, Broadbent V, Jones NS. Langerhans’ cell histiocytosis in childhood: management of head and neck manifestations. Laryngoscope 1994;104:64-70.
  • 4. Saliba I, Sidani K, El Fata F, Arcand P, Quintal MC, Abela A. Langerhans’ cell histiocytosis of the temporal bone in children. Int J Pediatr Otorhinolaryngol 2008;72:775-86.
  • 5. Azouz EM, Saigal G, Rodriguez MM, Podda A. Langerhans’ cell histiocytosis:pathology, imaging and treatment of skeletal involvement. Pediatr Radiol 2005;35:103-15.
  • 6. Fernández-Latorre F, Menor-Serrano F, Alonso-Charterina S, Arenas-Jiménez J. Langerhans’ cell histiocytosis of the temporal bone in pediatric patients: imaging and follow-up. AJR Am J Roentgenol 2000;174:217-21.
  • 7. Howarth DM, Gilchrist GS, Mullan BP, Wiseman GA, Edmonson JH, Schomberg PJ. Langerhans cell histiocytosis: diagnosis, natural history, management, and outcome. Cancer 1999;85:2278-90.
  • 8. Minkov M. Multisystem Langerhans cell histiocytosis in children: current treatment and future directions. Paediatr Drugs 2011;13:75-86.
  • 9. Haupt R, Minkov M, Astigarraga I, et al. Langerhans cell histiocytosis (LCH): guidelines for diagnosis, clinical work-up, and treatment for patients till the age of 18 years. Pediatr Blood Cancer 2013;60:175-84.
  • 10. Goldsmith AJ, Myssiorek D, Valderrama E, Patel M. Unifocal Langerhans’ cell histiocytosis (eosinophilic granuloma) of the petrous apex. Arch Otolaryngol Head Neck Surg 1993;119:113-6.
  • 11. Hermans R, De Foer B, Smet MH, et al. Eosinophilic granuloma of the head and neck: CT and MRI features in three cases. Pediatr Radiol 1994;24:33-6.
  • 12. McCaffrey TV, McDonald TJ. Histiocytosis X of the ear and temporal bone: review of 22 cases. Laryngoscope 1979;89:1735-42.
  • 13. D’Ambrosio N, Soohoo S, Warshall C, Johnson A, Karimi S. Craniofacial and intracranial manifestations of langerhans cell histiocytosis: report of findings in 100 patients. AJR Am J Roentgenol 2008;191:589-97.
  • 14. Wenig BM, Abbondanzo SL, Childers EL, Kapadia SB, Heffner DR. Extranodal sinus histiocytosis with massive lymphadenopathy (Rosai-Dorfman disease) of the head and neck. Hum Pathol 1993;24:483-92.
  • 15. Lau SK, Chu PG, Weiss LM. Immunohistochemical expression of Langerin in Langerhans cell histiocytosis and non-Langerhans cell histiocytic disorders. Am J Surg Pathol 2008;32:615-9.
  • 16. Levy R, Sarfaty SM, Schindel J. Eosinophilic granuloma of the temporal bone. Two cases with bilateral involvement. Arch Otolaryngol 1980;106:167-71.
  • 17. Mardi K, Thakur RC, Negi L. Intradural Eosinophilic Granuloma Invading Skull: Case Report and Review of the Literature. Asian J Neurosurg 2017;12:698-700.
There are 17 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Articles
Authors

Foong Seong Kın 0000-0002-1846-5151

Ong Cheng Aı 0000-0002-1277-0905

Faezahtul Arbaeyah Hussaın 0000-0003-3899-8833

Bee See Goh 0000-0002-5535-2930

Publication Date April 25, 2020
Submission Date January 14, 2020
Acceptance Date March 10, 2020
Published in Issue Year 2020

Cite

APA Seong Kın, F., Cheng Aı, O., Hussaın, F. A., Goh, B. S. (2020). A great mimicker of mastoiditis: Multisystem Langerhans’ cell histiocytosis. ENT Updates, 10(1), 296-299. https://doi.org/10.32448/entupdates.673014
AMA Seong Kın F, Cheng Aı O, Hussaın FA, Goh BS. A great mimicker of mastoiditis: Multisystem Langerhans’ cell histiocytosis. ENT Updates. April 2020;10(1):296-299. doi:10.32448/entupdates.673014
Chicago Seong Kın, Foong, Ong Cheng Aı, Faezahtul Arbaeyah Hussaın, and Bee See Goh. “A Great Mimicker of Mastoiditis: Multisystem Langerhans’ Cell Histiocytosis”. ENT Updates 10, no. 1 (April 2020): 296-99. https://doi.org/10.32448/entupdates.673014.
EndNote Seong Kın F, Cheng Aı O, Hussaın FA, Goh BS (April 1, 2020) A great mimicker of mastoiditis: Multisystem Langerhans’ cell histiocytosis. ENT Updates 10 1 296–299.
IEEE F. Seong Kın, O. Cheng Aı, F. A. Hussaın, and B. S. Goh, “A great mimicker of mastoiditis: Multisystem Langerhans’ cell histiocytosis”, ENT Updates, vol. 10, no. 1, pp. 296–299, 2020, doi: 10.32448/entupdates.673014.
ISNAD Seong Kın, Foong et al. “A Great Mimicker of Mastoiditis: Multisystem Langerhans’ Cell Histiocytosis”. ENT Updates 10/1 (April 2020), 296-299. https://doi.org/10.32448/entupdates.673014.
JAMA Seong Kın F, Cheng Aı O, Hussaın FA, Goh BS. A great mimicker of mastoiditis: Multisystem Langerhans’ cell histiocytosis. ENT Updates. 2020;10:296–299.
MLA Seong Kın, Foong et al. “A Great Mimicker of Mastoiditis: Multisystem Langerhans’ Cell Histiocytosis”. ENT Updates, vol. 10, no. 1, 2020, pp. 296-9, doi:10.32448/entupdates.673014.
Vancouver Seong Kın F, Cheng Aı O, Hussaın FA, Goh BS. A great mimicker of mastoiditis: Multisystem Langerhans’ cell histiocytosis. ENT Updates. 2020;10(1):296-9.