title: Langerhan cell histiocytosis: a child presenting with nine months history of fever.
abstract: We report a case of Langerhan Cell Histiocytosis in a three and a half years old child. The child presented with history of low grade fever, off and on for 9 months. There was 2 months history of progressive pallor and 5 days history of epistaxis. Blood complete picture revealed pancytopenia and the patient was referred to a paediatric oncologist. Initial diagnosis of acute lymphoblastic leukaemia (ALL), Lymphoma and disseminated Tuberculosis (TB) was made on basis of initial investigations. Coetaneous involvement occurred 7 months later along with Diabetes Insipidis, bone changes and pulmonary involvement.
authors: Jauhar Mumtaz
authors: JM
authors: Khan
authors: Nasser Rashid
authors: NR
authors: Dar
authors: Moizza
authors: M
authors: Tahir
authors: Wasif Aui
authors: WA
authors: Janjua
mesh_terms: D000972:Antineoplastic Agents, Phytogenic / Q000627:therapeutic use; D001706:Biopsy; D001853:Bone Marrow / Q000473:pathology*; D002675:Child, Preschool; D004844:Epistaxis / Q000209:etiology; D005334:Fever / Q000209:etiology*; D006646:Histiocytosis, Langerhans-Cell / Q000150:complications* / Q000175:diagnosis* / Q000188:drug therapy; D006801:Humans; D008297:Male; D010198:Pancytopenia / Q000209:etiology; D012871:Skin Diseases / Q000209:etiology; D014747:Vinblastine / Q000627:therapeutic use
chemical_list: D000972:Antineoplastic Agents, Phytogenic; D014747:Vinblastine