Langerhans cell histiocytosis physical examination: Difference between revisions

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Revision as of 19:48, 4 February 2016

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Kiran Singh, M.D. [2]

Overview

Physical Findings

General Appearance

Langerhans cell histiocytosis patients often appear cachectic

Vital Signs

Low-grade fever

HEENT

Langerhans cell histiocytosis. Adapted from Dermatology Atlas.^[1]
Langerhans cell histiocytosis. Adapted from Dermatology Atlas.^[1]
Langerhans cell histiocytosis. Adapted from Dermatology Atlas.^[1]
Langerhans cell histiocytosis. Adapted from Dermatology Atlas.^[1]
Langerhans cell histiocytosis. Adapted from Dermatology Atlas.^[1]
Langerhans cell histiocytosis. Adapted from Dermatology Atlas.^[1]

Abdomen

Extremities

Scaly erythematous cutaneous lesions
Bone tenderness

Langerhans cell histiocytosis. Adapted from Dermatology Atlas.^[1]
Langerhans cell histiocytosis. Adapted from Dermatology Atlas.^[1]
Langerhans cell histiocytosis. Adapted from Dermatology Atlas.^[1]

References

↑ ^1.0 ^1.1 ^1.2 ^1.3 ^1.4 ^1.5 ^1.6 ^1.7 ^1.8 "Dermatology Atlas".

Template:WikiDoc Sources

[Dermatology_Atlas-1] 1.0 ^1.1 ^1.2 ^1.3 ^1.4 ^1.5 ^1.6 ^1.7 ^1.8 "Dermatology Atlas".

[1]

@@ Line 5: / Line 5: @@
 ==Overview==
 ==Physical Findings==
-[[Organs]] involved:
+===General Appearance===
-*Bone: Most frequent in both unifocal and disseminated disease presenting as painful swelling. Skull, long bone of upper extremity, flat bones are affected in descending order. Infiltration in hands and feet is unusual. Osteolytic lesions can lead to pathological fractures.
+*  Langerhans cell histiocytosis patients often appear [[cachexic|cachectic]]
-*Skin: Commonly present as rash which varies between scaly erythematous lesions to red papules pronounced in [[Intertrigo|intertriginous]] areas. Up to 80% of LS would have extensive eruptions on the scalp.
+===Vital Signs===
-*Bone marrow : Pancytopenia with super added infection usually implies poor prognosis. Anemia can be due to number of factors and not necessarily implies bone marrow infiltration.
+* Low-grade [[fever]]
-*Lymph node: cervical commonest. enlargement of the liver in 20%, spleen in 30% and lymph nodes in 50% of HSC.<ref>{{cite web |url=http://www.patient.co.uk/showdoc/40002781/#notes |title=Langerhans cell histiocytosis - Patient UK |accessdate=2007-05-10 |format= |work=}}</ref>
+===HEENT===
-*[[Endocrine]] glands:[[Hypothalamic-pituitary-adrenal axis|Hypothalamic pituitary axis]]  commonly involved. Diabetes insipidus most common. [[Anterior pituitary]] [[hormone]] deficiency is usually permanent.
-*Lungs:
-*Less frequently GIT, CNS.
-====Skin====
-=====Hand=====
 <gallery>
-Image:Langerhans cell histiocytosis08.jpg|Langerhans cell histiocytosis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
-Image:Langerhans cell histiocytosis09.jpg|Langerhans cell histiocytosis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
-Image:Langerhans cell histiocytosis10.jpg|Langerhans cell histiocytosis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
-</gallery>
-=====Head=====
-<gallery>
 Image:Langerhans cell histiocytosis01.jpg|Langerhans cell histiocytosis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
 Image:Langerhans cell histiocytosis02.jpg|Langerhans cell histiocytosis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
 Image:Langerhans cell histiocytosis03.jpg|Langerhans cell histiocytosis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
 Image:Langerhans cell histiocytosis04.jpg|Langerhans cell histiocytosis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
 Image:Langerhans cell histiocytosis05.jpg|Langerhans cell histiocytosis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
 Image:Langerhans cell histiocytosis06.jpg|Langerhans cell histiocytosis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
 </gallery>
-=====Natal cleft=====
+===Abdomen===
+* [[Hepatomegaly]]
+* [[Splenomegaly]]
+===Extremities===
+* Scaly erythematous [[cutaneous]] lesions
+* [[Bone]] [[tenderness]]
 <gallery>
+Image:Langerhans cell histiocytosis08.jpg|Langerhans cell histiocytosis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
+Image:Langerhans cell histiocytosis09.jpg|Langerhans cell histiocytosis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
-Image:Langerhans cell histiocytosis07.jpg|Langerhans cell histiocytosis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
+Image:Langerhans cell histiocytosis10.jpg|Langerhans cell histiocytosis. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
 </gallery>
 ==References==
 {{Reflist|2}}

Langerhans cell histiocytosis physical examination: Difference between revisions

Revision as of 19:48, 4 February 2016

Overview

Physical Findings

General Appearance

Vital Signs

HEENT

Abdomen

Extremities

References

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