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][2][3][4]
Laboratory Findings
Complete Blood Count
- Anemia
- Thrombocytopenia
- Elevated erythrocyte sedimentation rate
- Elevated CRP
Basic Metabolic Panel
The following lab abnormalities may be seen on basal metabolic panel:[5][6]
- 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.
- ↑ Langerhans cell histiocytosis. Wikipedia (2015) https://en.wikipedia.org/wiki/Langerhans_cell_histiocytosis Accessed on February, 2 2016
- ↑ Langerhans cell histiocytosis. Radiopeadia (2015) http://radiopaedia.org/articles/langerhans-cell-histiocytosis Accessed on February, 3 2016
- ↑ Langerhans Cell Histiocytosis Treatment (PDQ®): Health Professional Version. National Cancer Institute (2015) http://www.cancer.gov/types/langerhans/hp/langerhans-treatment-pdq Accessed on February, 3 2016
- ↑ Montefusco L, Harari S, Elia D, Rossi A, Specchia C, Torre O, Adda G, Arosio M (May 2018). "Endocrine and metabolic assessment in adults with Langerhans cell histiocytosis". Eur. J. Intern. Med. 51: 61–67. doi:10.1016/j.ejim.2017.11.011. PMID 29198444.
- ↑ Liu DG, Zhang YX, Li F (February 2012). "Multisystem Langerhans cell histiocytosis with liver dysfunction as the first presentation: A case report". Oncol Lett. 3 (2): 391–394. doi:10.3892/ol.2011.462. PMID 22740918.