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| ==Pulmonary Langerhans cell histiocytosis== | | ==Pulmonary Langerhans cell histiocytosis== |
| *[[AKA]] eosinophilic granuloma of the lung. | | *[[AKA]] eosinophilic granuloma of the lung. |
| ===General===
| | {{Main|Pulmonary Langerhans cell histiocytosis}} |
| *Associated with smoking.<ref name=Ref_PPP234>{{Ref PPP|234}}</ref>
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| *Not associated with systemic diseases of Langerhans cells ([[AKA]] [[Langerhans cell histiocytosis|Hand-Schueller-Christian disease]]).
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| Subtypes:<ref name=Ref_PPP234/>
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| *Cellular form.
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| *Fibrotic form.
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| One form usually predominates.
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| ===Radiology===
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| *Upper lung zones.
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| ===Microscopic===
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| Features:<ref name=Ref_PPP237>{{Ref PPP|237}}</ref>
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| *Cellular peribronchiolar nodules with:
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| **Langerhans cells - '''key feature''':
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| ***Pale staining nucleus (H&E) with nuclear infolding - "crumpled tissue paper" appearance.
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| **+/-Smoker's macrophages (brown pigmented airspace macrophages).
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| **+/-Eosinophilia (may be rare) - '''significantly narrow DDx'''.
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| **Chronic inflammatory cells (lymphocytes). (???)
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| Images:
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| *[http://path.upmc.edu/cases/case299.html Pulmonary LCH & adenocarcinoma - several images (upmc.edu)].
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| ===IHC===
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| *Langerhans cells: S100+ and CD1a+.<ref name=Ref_PPP237>{{Ref PPP|237}}</ref>
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| =Granulomatous lung disease= | | =Granulomatous lung disease= |