Langerhans cell histiocytosis laboratory tests
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Haytham Allaham, M.D. [2]
Overview
Laboratory findings consistent with the diagnosis of Langerhans cell histiocytosis include abnormal complete blood count, erythrocyte sedimentation rate (ESR), basic metabolic panel, and immunohistochemistry.[1]
Laboratory Findings
Complete Blood Count
- Anemia
- Thrombocytopenia
- Elevated erythrocyte sedimentation rate
- Elevated CRP
Basic Metabolic Panel
- Elevated bilirubin concentration
- Abnormal liver enzymes
- Elevated alkaline phosphatase
Urinalysis
- Low urine specific gravity (1.008)
- Low specific gravity persisted during a water deprivation test
- Urine osmolality and urine specific gravity normalize following desmopressin administration
Immunohistochemistry
- On immunohistochemistry Langerhans cell histiocytosis is characterized by:
- CD1a +ve
- S100 +ve
- CD207 (langerin) +ve
References
- ↑ DiCaprio MR, Roberts TT (2014). "Diagnosis and Management of Langerhans Cell Histiocytosis". J Am Acad Orthop Surg. 22 (10): 643–652. doi:10.5435/JAAOS-22-10-643. PMID 25281259.