双侧颞骨朗格汉斯细胞组织细胞增多症:放射学上的珍珠。

Q4 Medicine
Open Neuroimaging Journal Pub Date : 2013-12-30 eCollection Date: 2013-01-01 DOI:10.2174/1874440001307010053
Mira A Coleman, Jane Matsumoto, Carrie M Carr, Laurence J Eckel, Amulya A Nageswara Rao
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引用次数: 23

摘要

朗格汉斯细胞组织细胞增多症(LCH)是一种罕见的组织细胞疾病,其临床病程难以预测,临床表现从单一系统到多系统不等。虽然头颈部受累是常见的LCH,孤立的双侧颞骨受累是非常罕见的。此外,LCH常被误解为乳突炎、中耳炎和外耳炎,延误了诊断和适当的治疗管理。为了提高检测和治疗的时间,对于上述传染性头颈部病因的异常表现,必须在鉴别诊断中进行LCH。任何经放射学鉴定的颞骨溶解性病变都应引起LCH的怀疑。我们在此报告一例双侧颞骨LCH的影像学表现,最初误诊为乳突炎。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Bilateral temporal bone langerhans cell histiocytosis: radiologic pearls.

Bilateral temporal bone langerhans cell histiocytosis: radiologic pearls.

Bilateral temporal bone langerhans cell histiocytosis: radiologic pearls.

Bilateral temporal bone langerhans cell histiocytosis: radiologic pearls.

Langerhans cell histiocytosis (LCH) is a rare histiocytic disorder with an unpredictable clinical course and highly varied clinical presentation ranging from single system to multisystem involvement. Although head and neck involvement is common in LCH, isolated bilateral temporal bone involvement is exceedingly rare. Furthermore, LCH is commonly misinterpreted as mastoiditis, otitis media and otitis externa, delaying diagnosis and appropriate therapeutic management. To improve detection and time to treatment, it is imperative to have LCH in the differential diagnosis for unusual presentations of the aforementioned infectious head and neck etiologies. Any lytic lesion of the temporal bone identified by radiology should raise suspicion for LCH. We hereby describe the radiologic findings of a case of bilateral temporal bone LCH, originally misdiagnosed as mastoiditis.

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来源期刊
Open Neuroimaging Journal
Open Neuroimaging Journal Medicine-Radiology, Nuclear Medicine and Imaging
CiteScore
0.70
自引率
0.00%
发文量
3
期刊介绍: The Open Neuroimaging Journal is an Open Access online journal, which publishes research articles, reviews/mini-reviews, and letters in all important areas of brain function, structure and organization including neuroimaging, neuroradiology, analysis methods, functional MRI acquisition and physics, brain mapping, macroscopic level of brain organization, computational modeling and analysis, structure-function and brain-behavior relationships, anatomy and physiology, psychiatric diseases and disorders of the nervous system, use of imaging to the understanding of brain pathology and brain abnormalities, cognition and aging, social neuroscience, sensorimotor processing, communication and learning.
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