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Langerhan cell histiocytosis: a child presenting with nine months history of fever

Khan, J.M.; Dar, N.R.; Tahir, M.; Janjua, W.A.

Journal of Ayub Medical College Abbottabad Jamc 26(4): 633-635

2014

ISSN/ISBN: 1025-9589
PMID: 25672205
Document Number: 675555
We report a case of Langerhan Cell Histiocytosis in a three and a half years old child. The child presented with history of low grade fever, off and on for 9 months. There was 2 months history of progressive pallor and 5 days history of epistaxis. Blood complete picture revealed pancytopenia and the patient was referred to a paediatric oncologist. Initial diagnosis of acute lymphoblastic leukaemia (ALL), Lymphoma and disseminated Tuberculosis (TB) was made on basis of initial investigations. Coetaneous involvement occurred 7 months later along with Diabetes Insipidis, bone changes and pulmonary involvement.

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