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Mzabi A, Thabet M, Tlili T, Zorgati H, Anoun J, Hassine IB, Karmeni M, Fredj FB, Mokni M, Laouani C. Nasal oral fistula revealing Langerhans´ cell histiocytosis in adult patient: case report. Pan Afr Med J 2021; 40:16. [PMID: 34733384 PMCID: PMC8531974 DOI: 10.11604/pamj.2021.40.16.27074] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2020] [Accepted: 02/05/2021] [Indexed: 11/25/2022] Open
Abstract
Langerhans cell histiocytosis (LCH) is a rare systemic disease caused by proliferation of mature histiocytes; its association to histiocyto fibroma is rarely reported. It rarely affects adults. We report a case of systemic LCH, in an adult patient with osteolytic lesion causing a fistula between the left nasal cavity and hard palate, involving the bone, lung, lymph node and associated to multiple histiocyto fibroma. The patient was operating for a fistula, and he was treated by chemotherapy and corticosteroids. Langerhans´ cell histiocytosis is a rare case, especially in adult patient. The diagnosis was based on histological and immunohistochemical analyses. This patient was treated by steroids and chemotherapy.
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Affiliation(s)
- Anis Mzabi
- Internal Medicine Department, Sahloul Hospital, Faculty of Medicine Sousse, University of Sousse, 4000 Sousse, Tunisia
| | - Maissa Thabet
- Internal Medicine Department, Sahloul Hospital, Faculty of Medicine Sousse, University of Sousse, 4000 Sousse, Tunisia
| | - Taghrid Tlili
- Pathology Department, Farhat Hached Hospital, Faculty of Medicine Sousse, University of Sousse, 4000 Sousse, Tunisia
| | - Hend Zorgati
- Internal Medicine Department, Sahloul Hospital, Faculty of Medicine Sousse, University of Sousse, 4000 Sousse, Tunisia
| | - Jihed Anoun
- Internal Medicine Department, Sahloul Hospital, Faculty of Medicine Sousse, University of Sousse, 4000 Sousse, Tunisia
| | - Imen Ben Hassine
- Internal Medicine Department, Sahloul Hospital, Faculty of Medicine Sousse, University of Sousse, 4000 Sousse, Tunisia
| | - Monia Karmeni
- Internal Medicine Department, Sahloul Hospital, Faculty of Medicine Sousse, University of Sousse, 4000 Sousse, Tunisia
| | - Fatma Ben Fredj
- Internal Medicine Department, Sahloul Hospital, Faculty of Medicine Sousse, University of Sousse, 4000 Sousse, Tunisia
| | - Moncef Mokni
- Pathology Department, Farhat Hached Hospital, Faculty of Medicine Sousse, University of Sousse, 4000 Sousse, Tunisia
| | - Chadia Laouani
- Internal Medicine Department, Sahloul Hospital, Faculty of Medicine Sousse, University of Sousse, 4000 Sousse, Tunisia
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