Langerhans cell histiocytosis with orbital involvement

T. R. Kramer, R. J. Noecker, Joseph M Miller, L. C. Clark

Research output: Contribution to journalArticle

29 Citations (Scopus)

Abstract

PURPOSE: To review three cases of Langerhans cell histiocytosis with orbital involvement that represent a significantly excessive incidence of this rare disease in one community. Current diagnostic criteria and therapeutic modalities related to Langerhans cell histiocytosis are reviewed. METHODS: Case reports. We present clinical, radiologic, histopathologic, and epidemiologic information on three patients with Langerhans cell histiocytosis. RESULTS: All three children, born within 18 months of one another, manifested rapidly progressive unilateral proptosis at age 2 years. By computed tomography, all had moderately enhancing lesions with involvement of the sphenoid bone and lateral orbit as well as the temporal lobe of the brain. All patients were treated with a combination of vincristine and prednisone, with variable resolution of their lesions. The occurrence of three cases in children born in Nogales, Arizona/Mexico, suggests an incidence rate of 40 per million, which is approximately 26 times the expected rate (P = .0001). CONCLUSIONS: The extraordinarily high incidence and the concentration of cases in both time and space of this cluster implies that Langerhans cell histiocytosis may be a sentinel disease for unusual environmental exposures.

Original languageEnglish (US)
Pages (from-to)814-824
Number of pages11
JournalAmerican Journal of Ophthalmology
Volume124
Issue number6
StatePublished - 1997

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Langerhans Cell Histiocytosis
Incidence
Sphenoid Bone
Exophthalmos
Environmental Exposure
Vincristine
Orbit
Temporal Lobe
Rare Diseases
Prednisone
Mexico
Tomography
Brain
Therapeutics

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Kramer, T. R., Noecker, R. J., Miller, J. M., & Clark, L. C. (1997). Langerhans cell histiocytosis with orbital involvement. American Journal of Ophthalmology, 124(6), 814-824.

Langerhans cell histiocytosis with orbital involvement. / Kramer, T. R.; Noecker, R. J.; Miller, Joseph M; Clark, L. C.

In: American Journal of Ophthalmology, Vol. 124, No. 6, 1997, p. 814-824.

Research output: Contribution to journalArticle

Kramer, TR, Noecker, RJ, Miller, JM & Clark, LC 1997, 'Langerhans cell histiocytosis with orbital involvement', American Journal of Ophthalmology, vol. 124, no. 6, pp. 814-824.
Kramer, T. R. ; Noecker, R. J. ; Miller, Joseph M ; Clark, L. C. / Langerhans cell histiocytosis with orbital involvement. In: American Journal of Ophthalmology. 1997 ; Vol. 124, No. 6. pp. 814-824.
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