Clinical characteristics of children with Langerhans cell histiocytosis with pulmonary involvement

OBJECTIVE: To improve the recognition of the clinical presentation and radiologic manifestation of children with Langerhans cell histiocytosis (LCH) with pulmonary involvement

Bibliographische Detailangaben
Veröffentlicht in:Zhonghua er ke za zhi = Chinese journal of pediatrics. - 1960. - 52(2014), 12 vom: 14. Dez., Seite 902-5
1. Verfasser: Tang, Xiaolei (VerfasserIn)
Weitere Verfasser: Wang, Wei, Liu, Jinrong, Yang, Haiming, Zhao, Shunying, Li, Huimin
Format: Aufsatz
Sprache:Chinese
Veröffentlicht: 2014
Zugriff auf das übergeordnete Werk:Zhonghua er ke za zhi = Chinese journal of pediatrics
Schlagworte:Journal Article
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245 1 0 |a Clinical characteristics of children with Langerhans cell histiocytosis with pulmonary involvement 
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520 |a OBJECTIVE: To improve the recognition of the clinical presentation and radiologic manifestation of children with Langerhans cell histiocytosis (LCH) with pulmonary involvement 
520 |a METHOD: A retrospective analysis was conducted on children who presented with respiratory symptoms or abnormal lung radiologic findings, and finally diagnosed with LCH in Ward 2 of Divison of Respiratory Diseases, Beijing Children's Hospital during the last 4 years 
520 |a RESULT: Fourteen children (10 boys and 4 girls) were included in this study. Male to female ratio was 2.5: 1. The median age was 1.3 years. Pulmonary involvements were coexisted with other involved organs in all the patients, such as skin (10 cases, 71%), liver (8 cases, 57%), and bone involvement (7 cases, 50%). The most common symptoms were cough and fever (7 cases, 50%). Respiratory symptoms were nonspecific, and 3 children had no respiratory symptom but abnormal findings on lung high-resolution CT (HRCT). The most common HRCT finding was the coexistence of nodules and cysts (6 cases, 43%). Other findings include cysts only (5 cases, 36%), nodules only (1 case), and with neither nodule nor cyst (2 cases, 14%). Pneumothorax was found in 7% of children 
520 |a CONCLUSION: Pulmonary involvement in children with LCH is easily misdiagnosed, and often coexisted with other involved tissues/organs such as skin and liver. Rash, which is easily missed in physical examination is very important for the diagnosis of LCH. The characteristic findings of lung HRCT (nodules and/or cysts) are helpful for diagnosis 
650 4 |a Journal Article 
700 1 |a Wang, Wei  |e verfasserin  |4 aut 
700 1 |a Liu, Jinrong  |e verfasserin  |4 aut 
700 1 |a Yang, Haiming  |e verfasserin  |4 aut 
700 1 |a Zhao, Shunying  |e verfasserin  |4 aut 
700 1 |a Li, Huimin  |e verfasserin  |4 aut 
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