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Year : 2017  |  Volume : 6  |  Issue : 2  |  Page : 119-122

Langerhans cell histiocytosis mimicking a complicated mastoiditis: A review and case report

1 Department of ENT, Ain Al-Khaleej Hospital, Al-Ain, UAE
2 Department of Surgery, Taif University, Saudi Arabia

Correspondence Address:
Mohiyuddin A. Q. Ali
Department of ENT, Ain Al-Khaleej Hospital, P. O. Box. 88206, Al-Ain
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/sjhs.sjhs_6_17

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Langerhans cell histiocytosis (LCH) is a rare entity of an unknown etiology, usually reported in children. It commonly involves cranial bones mimicking an otological disease. We report a case of a 22-month-old Saudi boy who was referred to our Otolaryngology Department, in the North West Armed Forces Hospital, Tabuk, Saudi Arabia, as a case of complicated mastoiditis with a fistula that was resistant to conventional treatment. The patient underwent surgical exploration, and a biopsy confirmed the diagnosis of LCH X. The case was treated accordingly. LCH of temporal bone can be misdiagnosed and mismanaged. This, however, can be minimized by a high index of suspicion, appropriate radiological and histopathological examination.

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