6.9 - Langerhans cell histiocytosis Flashcards

1
Q

what are langherhans cells?

A

specialized dendritic cells found predominantly in the skin

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2
Q

langerhans cells are derived from what cells?

A

bone marrow monocytes

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3
Q

what is the classic EM finding in langerhans cell histiocytosis?

A

birbeck granule (tennis racket)

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4
Q

how do langerhans cells stain on IHC?

A
  • CD1a

- S100

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5
Q

what is letterer-siwe disease? what is the presentation?

A
  • malignant proliferation of langerhans cells

- skin rash and cystic skeletal defects in an infant

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6
Q

what is eosinophilic granuloma? what is the presentation?

A

benign proliferation of langerhans cells in bone

- pathologic fracture in an adolescent (skin NOT involved)

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7
Q

what is hand schuller christian disease? what is the presentation?

A
  • malignant proliferation of langerhans cells

- scalp rash, lytic skull defects, diabetes insipidus, exophthalmos in a child

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