Pulmonary Langerhans' cell histiocytosis or miliary tuberculosis? Case report and literature review
Journal Title: Αρχεία Ελληνικής Ιατρικής - Year 2011, Vol 28, Issue 6
Abstract
Early stage pulmonary Langerhans' cell histiocytosis (PLCH) can convincingly mimic miliary tuberculosis (TB), clinically, radiologically, functionally and on histopathological examination, and conversely miliary TB may be mistaken for PLCH. The relevant literature emphases mistaking PLCH for TB and vice versa, but does not highlight the possibility of their coexistence. As it is possible for these two entities to present as concomitant disorders in the same patient, a high index of suspicion for TB should be maintained, even when PLCH appears to be the clinically obvious diagnosis, especially when steroid treatment may be used.
Authors and Affiliations
C. DIMITROPOULOS, I. VAMVAKARIS, D. VASSOS, G. HAMALAKIS, A. KOKKINI
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