소아의 하악골을 침범한 랑거한스세포 조직구 증식증의 임상적 고찰
Langerhans Cell Histiocytosis in the Juvenile Mandible
강연희, 김형준, 차인호, 이충국, 김진, 박세현, 서동준, 김현실,
소속 상세정보
강연희 ( Kang Yeon-Hee ) - 연세대학교 치과대학 구강악안면외과학교실
김형준 ( Kim Hyung-Jun ) - 연세대학교 치과대학 구강악안면외과학교실
차인호 ( Cha In-Ho ) - 연세대학교 치과대학 구강악안면외과학교실
이충국 ( Yi Choong-Kook ) - 연세대학교 치과대학 구강악안면외과학교실
김진 ( Kim Jin ) - 연세대학교 치과대학 구강종양연구소
박세현 ( Park Se-Hyun ) - 연세대학교 치과대학 구강악안면외과학교실
서동준 ( Seo Dong-Jun ) - 연세대학교 치과대학 구강악안면외과학교실
김현실 ( Kim Hyun-Sil ) - 연세대학교 치과대학 구강종양연구소
KMID : 0360120080300060577
Abstract
Langerhans cell histiocytosis (LCH) is characterized by proliferation of pathological Langerhans cells within different organs. It mainly affects children, but adult cases also occur, with an incidence rate of one to two per million.1,2) LCH results from the clonal proliferation of Langerhans cells. And its etiopathogenesis is still unknown.2,3) The hypothesis that it is a neoplastic or inflammatory disease, as well as the existence or not of immunological, viral or genetic predisposing factors, has been widely discussed in the literature, but no conclusive proof has ever been provided.4) Although lesions may appear in tissues of various origins such as skin, hypothalamus, liver, lung, or lymphoid tissue, bone is the most common site of the disease. The head and neck are affected in almost 90% of cases. The maxillary and mandibular bones are affected in 5 to 10% of cases.1,5) In our report, we present four cases of LCH in patients aged 3, 4, 7 and 9 years respectively, with primary manifestation in maxillofacial area.
키워드
Langerhans cell histiocytosis;Histiocytosis-X; hand-Schuller-Christian disease;Eonsinophilic granuloma;Letter-Siwe disease
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