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Coexistence of localized Langerhans cell histiocytosis and cutaneous Rosai-Dorfman disease

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Coexistence of localized Langerhans cell

histiocytosis and cutaneous

Rosai-Dorfman disease

李婉若

KH Wang;CJ Chen;CH HU and WR Lee

摘要

Abstract

Rosai-Dorfman disease (RDD; sinus histiocytosis with massive

lymphadenopathy) and Langerhans cell histiocytosis (LCH) are two different yet pathogenetically related histiocytic disorders. While systemic and localized forms have been identified in both diseases, each has its own characteristic histological, immunohistochemical and ultrastructural profile. Rarely, either RDD or LCH can also occur in the context of certain malignant neoplasms. However, the coexistence of RDD and LCH has never been described. We report a case of cutaneous RDD in which a focus of LCH was found. Clinical and laboratory examinations revealed no evidence of extracutaneous

involvement of RDD or LCH. We believe that this is the first report of such a coexistence, and the possible pathogenesis is discussed.

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