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Presumed Choroidal Langerhans Cell Histiocytosis Following a Previously Resected Solitary Central Nervous System Lesion in an Adult
Niall Patton, MRCOphth;
Tze Lai, MBBS(Hons);
Peter Robbins, FRCPA;
David Holthouse, MBBS(Hons);
Chris Barry, MMedSci;
Ian Constable, FRACO, FRACS
Arch Ophthalmol. 2006;124:1193-1195.
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Langerhans cell histiocytosis (LCH) is a rare disease of the mesenchymal dendritic cell system caused by a clonal proliferation of dendritic cells with Langerhans cell characteristics that may affect any organ, often with multisystem involvement1 and predominantly in children.2 Langerhans cell histiocytosis exhibits the characteristics of chronic inflammation, with typical granulomas consisting of CD1a-positive Langerhans cells, macrophages, T lymphocytes, and multinucleated giant cells and eosinophils.3 The most common central nervous system manifestation in LCH is involvement of the hypothalamic-pituitary region. Cerebral parenchymal involvement outside of the hypothalamic-pituitary axis by LCH is rare and may occur in the setting of multifocal systemic disease. Solitary unifocal LCH involving cerebral parenchyma is exceptionally rare.4-5 Ocular involvement in LCH is well recognized, but it normally manifests as eyelid or orbital infiltration6-8 and may involve multiple . . . [Full Text of this Article]Report of a Case
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