本篇病例報告是關於一位一歲大的男孩以發燒及右邊肩膀腫大的症狀為初始表現。他的胸部X光片及電腦斷層影像都顯示了一個界線不清楚的溶骨性病灶以及周圍的軟組織腫脹。全身長骨x光片檢查也發現了第2節腰椎骨扁平化的現象。後來病患接受了右邊肩膀病灶處的清創,而病理組織切片證明了朗格漢斯細胞組織細胞增生症的診斷。
Reported here is a case of Langerhan's cell histiocytosis (LCH), which occurred to a 1-year-old boy presented initially with fever and rightshoulder swelling. In this case, plain radiography and CT revealed an ill-defined osteolytic lesion associated with surrounding soft tissue mass in the right glenoid area. The boy underwent debridement and the specimens were seen to be involved by the Langerhan's cell microscopically. Vertebra plana was found at L2 vertebra after long bone survey.
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