Langerhans cell histiocytosis mimicking otitis media

Langerhans cell histiocytosis (LCH) is a spectrum of disease characterised by proliferation of Langerhans cells causing local or systemic manifestations. We report a two-year old boy who presented with a two-month history of progressive painless swelling over the right zygomatic region with ipsilat...

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Main Authors: Ishak, Noor Liza, Tan, Sui Teng, Hassan, Nor Eyzawiah, Alias, Azila
Format: Article
Language:English
Published: Universiti Putra Malaysia 2023
Online Access:http://psasir.upm.edu.my/id/eprint/109086/1/2023122923461007_MJMHS_0728.pdf
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author Ishak, Noor Liza
Tan, Sui Teng
Hassan, Nor Eyzawiah
Alias, Azila
author_facet Ishak, Noor Liza
Tan, Sui Teng
Hassan, Nor Eyzawiah
Alias, Azila
author_sort Ishak, Noor Liza
collection UPM
description Langerhans cell histiocytosis (LCH) is a spectrum of disease characterised by proliferation of Langerhans cells causing local or systemic manifestations. We report a two-year old boy who presented with a two-month history of progressive painless swelling over the right zygomatic region with ipsilateral otorrhea. Radiological investigation revealed an expansile hypodense lesion within the temporal bone with erosion of surrounding structures and meningeal enhancement. An ultrasound-guided biopsy of the lesion confirmed the diagnosis of LCH. LCH of the temporal bone may masquerade as otitis media with intra-temporal complications. A high index of suspicion is essential to avoid delay in diagnosis and management.
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spelling upm.eprints-1090862024-10-15T02:21:34Z http://psasir.upm.edu.my/id/eprint/109086/ Langerhans cell histiocytosis mimicking otitis media Ishak, Noor Liza Tan, Sui Teng Hassan, Nor Eyzawiah Alias, Azila Langerhans cell histiocytosis (LCH) is a spectrum of disease characterised by proliferation of Langerhans cells causing local or systemic manifestations. We report a two-year old boy who presented with a two-month history of progressive painless swelling over the right zygomatic region with ipsilateral otorrhea. Radiological investigation revealed an expansile hypodense lesion within the temporal bone with erosion of surrounding structures and meningeal enhancement. An ultrasound-guided biopsy of the lesion confirmed the diagnosis of LCH. LCH of the temporal bone may masquerade as otitis media with intra-temporal complications. A high index of suspicion is essential to avoid delay in diagnosis and management. Universiti Putra Malaysia 2023-12 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/109086/1/2023122923461007_MJMHS_0728.pdf Ishak, Noor Liza and Tan, Sui Teng and Hassan, Nor Eyzawiah and Alias, Azila (2023) Langerhans cell histiocytosis mimicking otitis media. Malaysian Journal of Medicine and Health Sciences, 19 (supp.19). pp. 25-27. ISSN 1675-8544; ESSN: 2636-9346 https://medic.upm.edu.my/upload/dokumen/2023122923461007_MJMHS_0728.pdf 10.47836/mjmhs.19.s19.7
spellingShingle Ishak, Noor Liza
Tan, Sui Teng
Hassan, Nor Eyzawiah
Alias, Azila
Langerhans cell histiocytosis mimicking otitis media
title Langerhans cell histiocytosis mimicking otitis media
title_full Langerhans cell histiocytosis mimicking otitis media
title_fullStr Langerhans cell histiocytosis mimicking otitis media
title_full_unstemmed Langerhans cell histiocytosis mimicking otitis media
title_short Langerhans cell histiocytosis mimicking otitis media
title_sort langerhans cell histiocytosis mimicking otitis media
url http://psasir.upm.edu.my/id/eprint/109086/1/2023122923461007_MJMHS_0728.pdf
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AT aliasazila langerhanscellhistiocytosismimickingotitismedia