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Published in: Italian Journal of Pediatrics 1/2014

Open Access 01-12-2014 | Case report

Cytophagic histiocytic panniculitis, hemophagocytic lymphohistiocytosis and undetermined autoimmune disorder: reconciling the puzzle

Authors: Claudia Pasqualini, Mauro Jorini, Ines Carloni, Mirella Giangiacomi, Valentina Cetica, Maurizio Aricò,, Fernando Maria de Benedictis

Published in: Italian Journal of Pediatrics | Issue 1/2014

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Abstract

Cytophagic histiocytic panniculitis is a rare disease, associated with either nonmalignant conditions or subcutaneous panniculitis-like T-cell lymphoma, and often also associated with hemophagocytic lymphohistiocytosis (HLH). We report the case of a 11-year-old boy with a history of secondary HLH who, after a local trauma, developed a painful, indurated plaque over the right thigh associated with relapsing HLH. Histopathologic findings from skin biopsy specimens revealed significant lobular panniculitis with benign histiocytes showing hemophagocytosis. High-dose intravenous methylprednisolone and cyclosporine A treatment was highly effective. A genetic study after a new, relapsing episode of HLH revealed an heterozygous missense mutation on STX 11 gene inherited from the mother.
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Metadata
Title
Cytophagic histiocytic panniculitis, hemophagocytic lymphohistiocytosis and undetermined autoimmune disorder: reconciling the puzzle
Authors
Claudia Pasqualini
Mauro Jorini
Ines Carloni
Mirella Giangiacomi
Valentina Cetica
Maurizio Aricò,
Fernando Maria de Benedictis
Publication date
01-12-2014
Publisher
BioMed Central
Published in
Italian Journal of Pediatrics / Issue 1/2014
Electronic ISSN: 1824-7288
DOI
https://doi.org/10.1186/1824-7288-40-17

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