Langerhans cell histiocytosis of the hip in children
Zied Jlalia, Dhia Kaffel
The Pan African Medical Journal. ;33:230. doi:10.11604/pamj..33.230.17956

Create an account  |  Sign in
"Better health through knowledge sharing and information dissemination "

Images in clinical medicine

Langerhans cell histiocytosis of the hip in children

Zied Jlalia, Dhia Kaffel
Pan Afr Med J. 2019; 33:230. doi:10.11604/pamj.2019.33.230.17956. Published 18 Jul 2019

Eight year old girl was referred to our consultation for a lameness with a flessum of the left hip with fever (38.5C). Biology showed an inflammatory syndroma (CRP: 29 mg/l). Pelvic X-ray showed an osteolysis of the roof of the left acetabulum with regular contour (A). Magnetic resonance imaging (MRI) showed tissue thinning and damage to the roof of the left acetabulum (B). A scanno-guided biopsy was performed, anatomopathological study confirmed the diagnosis of Langerhans cell histiocytosis. A discharge, with traction was done. The child has improved and biology has normalized. The radiograph of the hip after 1 year showed a filling of the gap (C). Langerha's cell histiocytosis is a proliferation of mononuclear phagocytic cells. It is also called eosinophilic granuloma. It is often located at the skull and spine. The localization at the hip represents only 8% of the cases it is especially supra-acetabular it's spontaneous evolution is favorable.

Corresponding author:
Zied Jlalia, Pediatric Orthopedics Department, Kassab Institute of Orthopedic Surgery, Ksar Said, Tunisia

©Zied Jlalia et al. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

More images in clinical medicine


PAMJ Images in Medicine and Public Health are archived on Pubmed Central. Access PAMJ archives on PMC here

Volume 34 (September - December 2019)

This image

Share this image:

Filter images [Reset filter]

By language

PAMJ is published in collaboration with the African Field Epidemiology Network (AFENET)
Currently tracked by: DOAJ, AIM, Google Scholar, AJOL, EBSCO, Scopus, Embase, IC, HINARI, Global Health, PubMed Central, PubMed/Medline, Ulrichsweb, More to come . Member of COPE.

ISSN: 1937-8688. © 2019 - Pan African Medical Journal. All rights reserved