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A great mimicker of mastoiditis: Multisystem Langerhans’ cell histiocytosis

Year 2020, Volume: 10 Issue: 1, 296 - 299, 25.04.2020
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.

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, Volume: 10 Issue: 1, 296 - 299, 25.04.2020
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 Volume: 10 Issue: 1

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.