E-ISSN 1858-8360 | ISSN 0256-4408
 

Case Report 


Twenty nail dystrophy in a child with Langerhans cell histiocytosis and Tuberculosis.

Vinson James, Anand Prakash, Indumathi Chikkanayakanahalli.

Abstract
Langerhans cell histiocytosis (LCH) is a rare disorder of proliferation of myeloid derived dendritic cells. Nail involvement in LCH is extremely uncommon. We report a child who presented with dystrophic changes in all twenty nails along with skin, dental, respiratory and abdominal findings who was diagnosed as Pulmonary Tuberculosis (PTB) and multisystem LCH. This is only the fourth case being reported having nail changes with multisystem involvement including high risk organs (liver and spleen) and the first case in the world to be reported as microbiologically confirmed PTB with multisystem LCH and dystrophy of twenty nails. In the setting of a multisystem presentation in an endemic country for Tuberculosis, where diagnosis is challenging, the characteristic nail changes of LCH help in the diagnosis.

Key words: Twenty nail dystrophy, Langerhans cell histiocytosis nail changes


 
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How to Cite this Article
Pubmed Style

James V, Prakash A, Chikkanayakanahalli I, . Twenty nail dystrophy in a child with Langerhans cell histiocytosis and Tuberculosis.. doi:10.24911/SJP.106-1602105103


Web Style

James V, Prakash A, Chikkanayakanahalli I, . Twenty nail dystrophy in a child with Langerhans cell histiocytosis and Tuberculosis.. http://www.sudanjp.com/?mno=9028 [Access: November 24, 2021]. doi:10.24911/SJP.106-1602105103


AMA (American Medical Association) Style

James V, Prakash A, Chikkanayakanahalli I, . Twenty nail dystrophy in a child with Langerhans cell histiocytosis and Tuberculosis.. doi:10.24911/SJP.106-1602105103



Vancouver/ICMJE Style

James V, Prakash A, Chikkanayakanahalli I, . Twenty nail dystrophy in a child with Langerhans cell histiocytosis and Tuberculosis.. doi:10.24911/SJP.106-1602105103



Harvard Style

James, V., Prakash, A., Chikkanayakanahalli, I. & (0) Twenty nail dystrophy in a child with Langerhans cell histiocytosis and Tuberculosis.. doi:10.24911/SJP.106-1602105103



Turabian Style

James, Vinson, Anand Prakash, Indumathi Chikkanayakanahalli, and . 0. Twenty nail dystrophy in a child with Langerhans cell histiocytosis and Tuberculosis.. doi:10.24911/SJP.106-1602105103



Chicago Style

James, Vinson, Anand Prakash, Indumathi Chikkanayakanahalli, and . "Twenty nail dystrophy in a child with Langerhans cell histiocytosis and Tuberculosis.." doi:10.24911/SJP.106-1602105103



MLA (The Modern Language Association) Style

James, Vinson, Anand Prakash, Indumathi Chikkanayakanahalli, and . "Twenty nail dystrophy in a child with Langerhans cell histiocytosis and Tuberculosis.." doi:10.24911/SJP.106-1602105103



APA (American Psychological Association) Style

James, V., Prakash, A., Chikkanayakanahalli, I. & (0) Twenty nail dystrophy in a child with Langerhans cell histiocytosis and Tuberculosis.. doi:10.24911/SJP.106-1602105103





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