Acral, pure cutaneous, self-healing, late-onset, cellulitis-like Langerhans cell histiocytosis.
BACKGROUND
An unusual and not yet reported clinical presentation of pure cutaneous Langerhans cell histiocytosis (LCH) that was a diagnostic dilemma.


OBJECTIVE
To bring to light the newer presentation of this disease.


METHODS
The case was managed on clinical grounds initially as cellulitis. However, after the investigations and confirmation of the diagnosis, she was managed symptomatically.


RESULTS
Pure cutaneous LCH may manifest in early adulthood with features of cellulitis, erythematous edematous vesicular plaques, and nodules distributed in the flexural acral areas.


CONCLUSIONS
Pure cutaneous LCH may have an acute late onset with unusual morphology as cellulitis, inverse acral distribution, and self-healing.
Sharma
Prafulla Kumar
PK
Department of Dermatology, Dr Ram Manohar Lohia Hospital, New Delhi, India. Prafulla21@gmail.com
Sabhnani
Sunil
S
Bhardwaj
Minakshi
M
Kar
Hemanta Kumar
HK
D000328:Adult; D017668:Age of Onset; D002481:Cellulitis / Q000453:epidemiology; D015897:Comorbidity; D004890:Erythema / Q000453:epidemiology; D005260:Female; D006646:Histiocytosis, Langerhans-Cell / Q000175:diagnosis* / Q000453:epidemiology / Q000473:pathology; D006801:Humans; D008205:Lymphangitis / Q000453:epidemiology; D012871:Skin Diseases / Q000175:diagnosis* / Q000473:pathology