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Abstract

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Article in Japanese

Case Report

A case of Langerhans cell histiocytosis with spontaneous remission diagnosed by echo-guided bone biopsy

Maki Noyamaa  Yumiko Kashiwagib  Fumiaki Tokiokaa  Machiko Aritaa  Tadashi Ishidaa  Takashi Koyamac 

aDepartment of Respiratory Medicine, Kurashiki Central Hospital, Ohara Memorial Kurashiki Central Healthcare Foundation
bDepartment of Respiratory Medicine, Shiga University of Medical Science
cDepartment of Radiology, Kurashiki Central Hospital, Ohara Memorial Kurashiki Central Healthcare Foundation

ABSTRACT

We herein reported a case of Langerhans cell histiocytosis (LCH), which was diagnosed by echo-guided bone biopsy and improved without any treatment other than cessation of smoking. A 25-year-old woman, who was a current smoker, presented at our hospital with chief complaints of cough and left back pain. Her chest computed tomography (CT) revealed osteolytic lesion in the 9th rib, a few cysts with ground-glass opacities, and small nodules in the bilateral upper lobes. A biopsy was performed on the bony lesion via echo guide, which indicated the diagnosis of LCH. Lung lesions were consistent with the CT image of LCH. The lytic bone lesion was completely cured after 4 months of biopsy with cessation of smoking and observation.

KEYWORDS

Langerhans cell histiocytosis  Langerhans cell  Ultrasound-guided bone biopsy  Spontaneous remission 

Received 23 Jul 2015 / Accepted 2 Mar 2016

AJRS, 5(4): 204-207, 2016

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