Langerhans cell histiocytosis

Langerhans cell histiocytosis
Micrograph showing a Langerhans cell histiocytosis with the characteristic reniform Langerhans cells accompanied by abundant eosinophils. H&E stain.
SpecialtyHematology

Langerhans cell histiocytosis (LCH) is an abnormal clonal proliferation of Langerhans cells, abnormal cells deriving from bone marrow and capable of migrating from skin to lymph nodes.

Symptoms range from isolated bone lesions to multisystem disease.[1] LCH is part of a group of syndromes called histiocytoses, which are characterized by an abnormal proliferation of histiocytes (an archaic term for activated dendritic cells and macrophages).[2] These diseases are related to other forms of abnormal proliferation of white blood cells, such as leukemias and lymphomas.[3]

The disease has gone by several names, including Hand–Schüller–Christian disease, Abt-Letterer-Siwe disease, Hashimoto-Pritzker disease (a very rare self-limiting variant seen at birth) and histiocytosis X, until it was renamed in 1985 by the Histiocyte Society.[4][1]

  1. ^ a b "Langerhans Cell Histiocytosis". NORD (National Organization for Rare Disorders). Retrieved 5 December 2020.
  2. ^ "UpToDate". UpToDate. Retrieved October 18, 2023.
  3. ^ Feldman, Andrew L; Berthold, Frank; Arceci, Robert J; Abramowsky, Carlos; Shehata, Bahig M; Mann, Karen P; Lauer, Stephen J; Pritchard, Jon; Raffeld, Mark; Jaffe, Elaine S (2005). "Clonal relationship between precursor T-lymphoblastic leukaemia/lymphoma and Langerhans-cell histiocytosis". The Lancet Oncology. 6 (6). Elsevier BV: 435–437. doi:10.1016/s1470-2045(05)70211-4. ISSN 1470-2045. PMID 15925822.
  4. ^ The Writing Group of the Histiocyte Society (1987). "Histiocytosis syndromes in children. Writing Group of the Histiocyte Society". Lancet. 1 (8526): 208–9. doi:10.1016/S0140-6736(87)90016-X. PMID 2880029. S2CID 54351490.(subscription required)