表现为白斑病的睑结膜孤立性朗格汉斯细胞组织细胞增生症：病例与文献综述。

IF 1.2 4区医学 Q3 OPHTHALMOLOGY

Ophthalmic Plastic and Reconstructive Surgery Pub Date : 2024-07-16 DOI:10.1097/IOP.0000000000002713

Tal J Rubinstein, Adam J Bennett, Preeti H Parekh

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引用次数: 0

摘要

一名 69 岁的男性因上睑结膜白色白斑病变就诊。切除活检显示患上了朗格汉斯细胞组织细胞增生症。正电子发射断层扫描显示该部位以外没有其他病变。众所周知，结膜中存在原生朗格汉斯细胞，但文献中描述结膜朗格汉斯细胞组织细胞增生症的病例却寥寥无几，而且大多发生在儿童身上。成人结膜朗格汉斯细胞组织细胞增生症很少被报道为白斑病。作者主张，如果闭合手术的发病率很低，除了监测多灶性疾病外，还应对老年患者的睑结膜朗格汉斯细胞组织细胞增生症进行切除活检。

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Solitary Langerhans Cell Histiocytosis of the Palpebral Conjunctiva Presenting as Leukoplakia: Case and Review of Literature.

A 69-year-old male presented with a superior palpebral conjunctival white leukoplakic lesion. Excisional biopsy showed Langerhans cell histiocytosis. Positron emission tomography scanning revealed no lesions beyond this site. Native Langerhans cells are known to exist in the conjunctiva, yet only a few cases in the literature have described Langerhans cell histiocytosis of the conjunctiva, mostly in children. Conjunctival Langerhans cell histiocytosis has rarely been reported in an adult as leukoplakia. The authors advocate excisional biopsy for palpebral conjunctival Langerhans cell histiocytosis in older patients if the morbidity of closure is minimal, in addition to surveillance for multifocal disease.

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来源期刊

Ophthalmic Plastic and Reconstructive Surgery 医学-外科

CiteScore

2.50

自引率

10.00%

发文量

322

审稿时长

3-8 weeks

期刊介绍： Ophthalmic Plastic and Reconstructive Surgery features original articles and reviews on topics such as ptosis, eyelid reconstruction, orbital diagnosis and surgery, lacrimal problems, and eyelid malposition. Update reports on diagnostic techniques, surgical equipment and instrumentation, and medical therapies are included, as well as detailed analyses of recent research findings and their clinical applications.