Original article | Volume 33, Article 230, 18 Jul 2019 | 10.11604/pamj.2019.33.230.17956

Langerhans cell histiocytosis of the hip in children

Zied Jlalia, Dhia Kaffel

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

Received: 16 Dec 2018 - Accepted: 07 Jul 2019 - Published: 18 Jul 2019

Domain: Rheumatologist,Pediatrics (general),Orthopedic surgery

Keywords: Langerhans cell histiocytosis, hip, children

©Zied Jlalia et al. Pan African Medical Journal (ISSN: 1937-8688). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Cite this article: Zied Jlalia et al. Langerhans cell histiocytosis of the hip in children. Pan African Medical Journal. 2019;33:230. [doi: 10.11604/pamj.2019.33.230.17956]

Available online at: https://www.panafrican-med-journal.com/content/article/33/230/full

Home | Volume 33 | Article number 230

Original article

Langerhans cell histiocytosis of the hip in children

Langerhans cell histiocytosis of the hip in children

Zied Jlalia1,&, Dhia Kaffel2

 

1Pediatric Orthopedics Department, Kassab Institute of Orthopedic Surgery, Ksar Said, Tunisia, 2Rheumatology Department, Kassab Institute of Orthopedic Surgery, Ksar Said, Tunisia

 

 

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

 

 

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Eight year old girl was referred to our consultation for a lameness with a flessum of the left hip with fever (38.5°C). 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 its spontaneous evolution is favorable.

 

 

Figure 1: A) pelvic X-ray showed an osteolysis of the roof of the left acetabulum with regular contour; B) MRI of the hip joint showed tissue thinning and damage of the roof of the left acetabulum; C) pelvic X-ray after 1 year showed a filling of the gap

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Original article

Langerhans cell histiocytosis of the hip in children

Original article

Langerhans cell histiocytosis of the hip in children

Original article

Langerhans cell histiocytosis of the hip in children