Sandbox: Langerhans: Difference between revisions

Jump to navigation Jump to search
No edit summary
No edit summary
Line 1: Line 1:
* Langerhans cell histiocytosis may be classified according to the extent of organs involvement into 4 groups: pulmonary Langerhans cell histiocytosis, unifocal Langerhans cell histiocytosis, multifocal unisystem Langerhans cell histiocytosis, and multifocal multisystem Langerhans cell histiocytosis.
LCH is a rare disease,
* The table below lists the features of each specific Langerhans cell histiocytosis subtype:
affecting approximately 5 to 6 persons per 1 million people annually in the United States
It is primarily encountered in pediatric patients; 50% to 90% of cases are diagnosed between the ages of 1 year and 15 years.


{| style="border: 0px; font-size: 90%; margin: 3px; width: 1000px"
* Langerhans cell histiocytosis commonly affects individuals younger than 15 years of age.
|valign=top|
* The median age at diagnosis is depends on the specific subtype of the disease, such as:
|+
:* Pulmonary Langerhans cell histiocytosis is usually first diagnosed among adults.
! style="background: #4479BA; width: 250px; color: #FFFFFF;"|'''Subtype'''
:* Unifocal Langerhans cell histiocytosis and multifocal unisystem Langerhans cell histiocytosis are usually first diagnosed among individuals of 2-10 years of age.
:* Multifocal multisystem Langerhans cell histiocytosis is usually first diagnosed among individuals younger than 2 years of age.


! style="background: #4479BA; width: 600px; color: #FFFFFF;"|'''Organ Involvement'''


! style="background: #4479BA; width: 600px; color: #FFFFFF;"|'''Age'''


! style="background: #4479BA; width: 600px; color: #FFFFFF;"|'''Risk Factors'''


! style="background: #4479BA; width: 600px; color: #FFFFFF;"|'''Prognosis'''
Patients with isolated EG bone lesions typically present at age 5 to 15 years, whereas those with systemic forms of LCH present earlier (age 1 year to 5 years).
|-
These lesions predominantly affect males, with a male-to-female ratio of 2 to 3:1 reported.
 
| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold" align=center | '''Pulmonary Langerhans cell histiocytosis'''
| style="padding: 5px 5px; background: #F5F5F5;" align=center |Isolated pulmonary involvement
| style="padding: 5px 5px; background: #F5F5F5;" align=center |Adults
| style="padding: 5px 5px; background: #F5F5F5;" align=center |Occurs exclusively among smokers
| style="padding: 5px 5px; background: #F5F5F5;" align=center |Good prognosis with smoking cessation
|-
 
| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold" align=center | '''Unifocal Langerhans cell histiocytosis'''
| style="padding: 5px 5px; background: #F5F5F5;" align=center |Isolated bone involvement
| style="padding: 5px 5px; background: #F5F5F5;" align=center |Children
| style="padding: 5px 5px; background: #F5F5F5;" align=center |Familial predisposition
| style="padding: 5px 5px; background: #F5F5F5;" align=center |Good prognosis, may spontaneously regress
|-
 
| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold" align=center | '''Multifocal unisystem Langerhans cell histiocytosis'''
| style="padding: 5px 5px; background: #F5F5F5;" align=center |Triad of diabetes insipidus, exopthalmos, and lytic bone lesions
| style="padding: 5px 5px; background: #F5F5F5;" align=center |2–10 years of age
| style="padding: 5px 5px; background: #F5F5F5;" align=center |Familial predisposition
| style="padding: 5px 5px; background: #F5F5F5;" align=center |Good prognosis, may spontaneously regress
|-
 
| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold" align=center | '''Multifocal multisystem Langerhans cell histiocytosis'''
| style="padding: 5px 5px; background: #F5F5F5;" align=center |Involves skin, lungs, bone, and GI tract
| style="padding: 5px 5px; background: #F5F5F5;" align=center |Younger than 2 years of age
| style="padding: 5px 5px; background: #F5F5F5;" align=center |Familial predisposition
| style="padding: 5px 5px; background: #F5F5F5;" align=center |Poor prognosis
|-
|}

Revision as of 15:07, 4 February 2016

LCH is a rare disease, affecting approximately 5 to 6 persons per 1 million people annually in the United States It is primarily encountered in pediatric patients; 50% to 90% of cases are diagnosed between the ages of 1 year and 15 years.

  • Langerhans cell histiocytosis commonly affects individuals younger than 15 years of age.
  • The median age at diagnosis is depends on the specific subtype of the disease, such as:
  • Pulmonary Langerhans cell histiocytosis is usually first diagnosed among adults.
  • Unifocal Langerhans cell histiocytosis and multifocal unisystem Langerhans cell histiocytosis are usually first diagnosed among individuals of 2-10 years of age.
  • Multifocal multisystem Langerhans cell histiocytosis is usually first diagnosed among individuals younger than 2 years of age.



Patients with isolated EG bone lesions typically present at age 5 to 15 years, whereas those with systemic forms of LCH present earlier (age 1 year to 5 years). These lesions predominantly affect males, with a male-to-female ratio of 2 to 3:1 reported.