Case of Non-Langerhans Cell Histiocytosis in a Person Living with HIV - Clinical and Therapeutic Challenge

Non-Langerhans cell histiocytosis is a rare disease which seldom affects adults. We report a case of a 32-year-old Bulgarian woman living with HIV. She developed severe anemia, extreme splenomegaly, requiring splenectomy and vertebral tumor formations leading to fracture. The diagnosis was confirmed...

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Main Authors: Nina Yancheva, Dimitar Strashimirov, Dragomir Dardanov, Bojidar Kamenov, Atanas Radinoff
Format: Article
Language:English
Published: SAGE Publishing 2022-06-01
Series:Journal of the International Association of Providers of AIDS Care
Online Access:https://doi.org/10.1177/23259582221109567
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author Nina Yancheva
Dimitar Strashimirov
Dragomir Dardanov
Bojidar Kamenov
Atanas Radinoff
author_facet Nina Yancheva
Dimitar Strashimirov
Dragomir Dardanov
Bojidar Kamenov
Atanas Radinoff
author_sort Nina Yancheva
collection DOAJ
description Non-Langerhans cell histiocytosis is a rare disease which seldom affects adults. We report a case of a 32-year-old Bulgarian woman living with HIV. She developed severe anemia, extreme splenomegaly, requiring splenectomy and vertebral tumor formations leading to fracture. The diagnosis was confirmed by histological examination of the spleen, but subsequently questioned and a cumulative disease was discussed. After genetic testing, a cumulative disease was ruled out and the condition was determined to be Non-Langerhans cell histiocytosis. According to literature data, the disease has a high mortality rate. However, in our case, we should also note that there was a delay in diagnosis by several months due to difficulties in the clarification of the hematological disorder.
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spelling doaj.art-95482fb69cec4e3481320bf06bd7b1a92022-12-22T03:37:02ZengSAGE PublishingJournal of the International Association of Providers of AIDS Care2325-95822022-06-012110.1177/23259582221109567Case of Non-Langerhans Cell Histiocytosis in a Person Living with HIV - Clinical and Therapeutic ChallengeNina Yancheva0Dimitar Strashimirov1Dragomir Dardanov2Bojidar Kamenov3Atanas Radinoff4 Department of AIDS, Prof. Ivan Kirov Specialized Hospital for Active Тreatment of Infectious and Parasitic Diseases Medical University – Sofia, Bulgaria Department of AIDS, Prof. Ivan Kirov Specialized Hospital for Active Тreatment of Infectious and Parasitic Diseases Medical University – Sofia, Bulgaria First Surgical Clinic, Aleksandrovska University Multidisciplinary Hospital, Medical University – Sofia, Bulgaria Neurosurgical clinic, St.Ivan Rilski University Multidisciplinary Hospital, Bulgaria Clinic of Haematology, St.Ivan Rilski University Multidisciplinary Hospital, BulgariaNon-Langerhans cell histiocytosis is a rare disease which seldom affects adults. We report a case of a 32-year-old Bulgarian woman living with HIV. She developed severe anemia, extreme splenomegaly, requiring splenectomy and vertebral tumor formations leading to fracture. The diagnosis was confirmed by histological examination of the spleen, but subsequently questioned and a cumulative disease was discussed. After genetic testing, a cumulative disease was ruled out and the condition was determined to be Non-Langerhans cell histiocytosis. According to literature data, the disease has a high mortality rate. However, in our case, we should also note that there was a delay in diagnosis by several months due to difficulties in the clarification of the hematological disorder.https://doi.org/10.1177/23259582221109567
spellingShingle Nina Yancheva
Dimitar Strashimirov
Dragomir Dardanov
Bojidar Kamenov
Atanas Radinoff
Case of Non-Langerhans Cell Histiocytosis in a Person Living with HIV - Clinical and Therapeutic Challenge
Journal of the International Association of Providers of AIDS Care
title Case of Non-Langerhans Cell Histiocytosis in a Person Living with HIV - Clinical and Therapeutic Challenge
title_full Case of Non-Langerhans Cell Histiocytosis in a Person Living with HIV - Clinical and Therapeutic Challenge
title_fullStr Case of Non-Langerhans Cell Histiocytosis in a Person Living with HIV - Clinical and Therapeutic Challenge
title_full_unstemmed Case of Non-Langerhans Cell Histiocytosis in a Person Living with HIV - Clinical and Therapeutic Challenge
title_short Case of Non-Langerhans Cell Histiocytosis in a Person Living with HIV - Clinical and Therapeutic Challenge
title_sort case of non langerhans cell histiocytosis in a person living with hiv clinical and therapeutic challenge
url https://doi.org/10.1177/23259582221109567
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