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Pericardial Effusion in a Pediatric Patient with Langerhans-Cell Histiocytosis (LCH): A Case Report and Review of an Atypical Presentation of Multisystemic LCH
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  • Enrique Villarreal,
  • Karen Espinosa,
  • Oscar Tamez-Rivera,
  • Sara Ortega-Alonzo,
  • Daniel González-Gaytán,
  • Maria Rangel-Fuentes,
  • José Mares-Gil
Enrique Villarreal
Tecnologico de Monterrey

Corresponding Author:[email protected]

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Karen Espinosa
Hospital Zambrano Hellion
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Oscar Tamez-Rivera
Instituto Tecnologico y de Estudios Superiores de Monterrey
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Sara Ortega-Alonzo
Instituto Tecnologico y de Estudios Superiores de Monterrey
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Daniel González-Gaytán
Secretaria de Salud de Nuevo Leon
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Maria Rangel-Fuentes
Secretaria de Salud de Nuevo Leon
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José Mares-Gil
Secretaria de Salud de Nuevo Leon
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Abstract

Langerhans-cell histiocytosis (LCH) is a condition characterized of an inadequate function and proliferation of this cells. Clinical presentation can be variable depending on the site of affection. The most common sites of affection are bones, skin and lymph nodes; however, this histiocytic disorder can arise in virtually any organ system, making it challenging to diagnose. In this case report we describe a 6-month-old with an atypical and unique presentation of multisystemic LCH: skin involvement and pericardial effusion. We highlight the importance of clinical suspicion among physicians when symptoms of several systems appear, especially when skeletal or skin systems are affected.