Indeterminate Cell Histiocytosis: A Case Report

Indeterminate cell histiocytosis is a rare neoplasm composed of cells with mixed characteristics of Langerhans cells and non-Langerhans cells. An otherwise healthy, 36-year-old woman presented with asymptomatic generalized papules and nodules that had appeared on all four extremities, the trunk, and...

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Main Authors: Chun-Hua Wang, Gwo-Shing Chen
Format: Article
Language:English
Published: Wiley 2004-01-01
Series:Kaohsiung Journal of Medical Sciences
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1607551X09700804
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author Chun-Hua Wang
Gwo-Shing Chen
author_facet Chun-Hua Wang
Gwo-Shing Chen
author_sort Chun-Hua Wang
collection DOAJ
description Indeterminate cell histiocytosis is a rare neoplasm composed of cells with mixed characteristics of Langerhans cells and non-Langerhans cells. An otherwise healthy, 36-year-old woman presented with asymptomatic generalized papules and nodules that had appeared on all four extremities, the trunk, and cheeks in the previous 6 months. The lesions were firm, painless, non-pruritic, and slightly flesh-yellow or reddish-brown in color. Histopathologic, immunohistochemical examination and electron microscopic studies showed characteristic findings of indeterminate cell histiocytosis: diffuse proliferative histiocytes infiltrating the dermis without epidermotropism or atypia; neoplastic cells expressing markers characteristic of both Langerhans cells (CD1a, S-100) and focal monocytes/macrophages (Factor XIIIa, CD68); and no Birbeck granules within the cytoplasm of the neoplastic cells. Flow cytometry revealed more CD34+ cells in the peripheral blood of the patient than in peripheral blood from a control. Interestingly, the patient responded favorably to psoralen ultraviolet A-range treatment. Herein, we present this case and review the literature.
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spelling doaj.art-686d665f985a43caa2b5dc70656436c42022-12-22T01:05:38ZengWileyKaohsiung Journal of Medical Sciences1607-551X2004-01-01201242910.1016/S1607-551X(09)70080-4Indeterminate Cell Histiocytosis: A Case ReportChun-Hua WangGwo-Shing ChenIndeterminate cell histiocytosis is a rare neoplasm composed of cells with mixed characteristics of Langerhans cells and non-Langerhans cells. An otherwise healthy, 36-year-old woman presented with asymptomatic generalized papules and nodules that had appeared on all four extremities, the trunk, and cheeks in the previous 6 months. The lesions were firm, painless, non-pruritic, and slightly flesh-yellow or reddish-brown in color. Histopathologic, immunohistochemical examination and electron microscopic studies showed characteristic findings of indeterminate cell histiocytosis: diffuse proliferative histiocytes infiltrating the dermis without epidermotropism or atypia; neoplastic cells expressing markers characteristic of both Langerhans cells (CD1a, S-100) and focal monocytes/macrophages (Factor XIIIa, CD68); and no Birbeck granules within the cytoplasm of the neoplastic cells. Flow cytometry revealed more CD34+ cells in the peripheral blood of the patient than in peripheral blood from a control. Interestingly, the patient responded favorably to psoralen ultraviolet A-range treatment. Herein, we present this case and review the literature.http://www.sciencedirect.com/science/article/pii/S1607551X09700804indeterminate cell histiocytosis
spellingShingle Chun-Hua Wang
Gwo-Shing Chen
Indeterminate Cell Histiocytosis: A Case Report
Kaohsiung Journal of Medical Sciences
indeterminate cell histiocytosis
title Indeterminate Cell Histiocytosis: A Case Report
title_full Indeterminate Cell Histiocytosis: A Case Report
title_fullStr Indeterminate Cell Histiocytosis: A Case Report
title_full_unstemmed Indeterminate Cell Histiocytosis: A Case Report
title_short Indeterminate Cell Histiocytosis: A Case Report
title_sort indeterminate cell histiocytosis a case report
topic indeterminate cell histiocytosis
url http://www.sciencedirect.com/science/article/pii/S1607551X09700804
work_keys_str_mv AT chunhuawang indeterminatecellhistiocytosisacasereport
AT gwoshingchen indeterminatecellhistiocytosisacasereport