Formerly known as histiocytosis x (eosinophilic granuloma, hand-schuller-christian disease, letterer-siwe disease)
- Due to proliferation of abnormal histiocytes (subtypes of WBC)
Clinical: Short stature, diabetes insipidus, neurosensory deafness and tooth mobility
Radiology: Osteolysis causing ’floating teeth’ in multiple quadrants
Histology:
- Diffuse infiltration of large, pale staining mononuclear cells with indistinct cytoplasmic
borders rounded/bean shaped nuclei - Birbeck granules: rod shaped cytoplasmic structures characteristic to Langerhans cells (s100 positive)
Management: Curettage of accessible bone lesions
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