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Limp as unusual presentation of Langerhans' cell histiocytosis |
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| Authors: | E. Bodart J.-F. Nisolle P. Maton M. Delos J.-P. Trigaux C. Gilliard D. Tuerlinckx J. Ninane |
| Affiliation: | (1) Department of Paediatrics, Cliniques UCL de Mont-Godinne, B-5530 Yvoir, Belgium, Tel.: +32-81-42 34 61, Fax: +32-81-42 34 61, BE;(2) Department of Radiology, Cliniques Universitaires UCL Mont-Godinne, Yvoir, Belgium, BE;(3) Department of Pathology, Cliniques Universitaires UCL Mont-Godinne, Yvoir, Belgium, BE;(4) Department of Neurosurgery, Cliniques Universitaires UCL Mont-Godinne, Yvoir, Belgium, BE |
| Abstract: | An isolated eosinophilic granuloma involving the posterior elements of a lumbar vertebra is reported in a 3-year-old boy presenting with progressive limp. Radiological investigations revealed osteolysis of the L5 right pedicle. MRI showed a well-defined homogeneous mass with nonspecific signal intensity. An unusual feature was the paravertebral muscular location of the largest part of the tumour indicating a possible soft tissue origin. Immunohistochemical studies were typical for Langerhans' cell histiocytosis. Conclusion A limp can be due to lumbar and paravertebral muscular location of Langerhans' cell histiocytosis. Received: 16 June 1998 / Accepted in revised form: 7 October 1998 |
| Keywords: | Eosinophilic granuloma Histiocytosis Langerhans' cell Spinal diseases Radiography |
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