Langerhans Cell Histiocytosis: A Diagnostic Challenge in the Oral Cavity

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ALTAY M. A., SİNDEL A., ÖZALP Ö., Kocabalkan B., ÖZBUDAK İ. H., Erdem R., ...More

CASE REPORTS IN PATHOLOGY, vol.2017, 2017 (ESCI) identifier identifier

  • Publication Type: Article / Article
  • Volume: 2017
  • Publication Date: 2017
  • Doi Number: 10.1155/2017/1691403
  • Journal Indexes: Emerging Sources Citation Index (ESCI)
  • Akdeniz University Affiliated: Yes


Background. Langerhans cell histiocytosis (LCH) is a rare disorder of the reticuloendothelial system with unknown etiology. This report aims to present a case of LCHwith diffuse involvement of the oral cavity and to raise awareness of the distinguishing features of this diagnostically challenging entity. Case Report. A26-year-old male patient presented with complaints of teethmobility, intense pain, and difficulty in chewing. Intraoral and radiological examinations revealed generalized gingival hyperplasia and severe teeth mobility with widespread alveolar bone loss. Periodontal therapy was performed with no significant improvement. An incisional biopsy revealed Langerhans cells and positive reaction to S-100 and CD1, and the patient was diagnosed with LCH. The patient underwent systemic chemotherapy with vinca alkaloids and corticosteroids. Regression of gingival lesions, as well as significant decrease in mobility of the remaining teeth and severity of pain, was achieved during 12months of follow-up. Conclusion. Therarity and variable system involvement of LCH necessitate a multidisciplinary approach be carried out for accurate diagnosis, effective treatment, and an uneventful follow-up. Awareness of oral manifestations of LCH may aid clinicians greatly in reducing morbidity and mortality associated with this debilitating condition.