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, Chikkanayakanahalli Indumathi.

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 20 nails along with skin, dental, respiratory and abdominal findings who was diagnosed as pulmonary tuberculosis (PTB) and multisystem LCH. This is the fourth case being reported having nail changes with multisystem involvement, including high risk organs (liver and spleen), and the first case worldwide to be reported as microbiological confirmed PTB with multisystem LCH and dystrophy of 20 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: Langerhans cell histiocytosis; Nail changes; Pulmonary tuberculosis; Multisystem Langerhans cell histiocytosis.


 
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How to Cite this Article
Pubmed Style

James V, Prakash A, Indumathi C. Twenty nail dystrophy in a child with Langerhans cell histiocytosis and tuberculosis. Sudan J Paed. 2021; 21(2): 200-204. doi:10.24911/SJP.106-1602105103


Web Style

James V, Prakash A, Indumathi C. Twenty nail dystrophy in a child with Langerhans cell histiocytosis and tuberculosis. https://www.sudanjp.com/?mno=9028 [Access: September 08, 2023]. doi:10.24911/SJP.106-1602105103


AMA (American Medical Association) Style

James V, Prakash A, Indumathi C. Twenty nail dystrophy in a child with Langerhans cell histiocytosis and tuberculosis. Sudan J Paed. 2021; 21(2): 200-204. doi:10.24911/SJP.106-1602105103



Vancouver/ICMJE Style

James V, Prakash A, Indumathi C. Twenty nail dystrophy in a child with Langerhans cell histiocytosis and tuberculosis. Sudan J Paed. (2021), [cited September 08, 2023]; 21(2): 200-204. doi:10.24911/SJP.106-1602105103



Harvard Style

James, V., Prakash, . A. & Indumathi, . C. (2021) Twenty nail dystrophy in a child with Langerhans cell histiocytosis and tuberculosis. Sudan J Paed, 21 (2), 200-204. doi:10.24911/SJP.106-1602105103



Turabian Style

James, Vinson, Anand Prakash, and Chikkanayakanahalli Indumathi. 2021. Twenty nail dystrophy in a child with Langerhans cell histiocytosis and tuberculosis. Sudanese Journal of Paediatrics, 21 (2), 200-204. doi:10.24911/SJP.106-1602105103



Chicago Style

James, Vinson, Anand Prakash, and Chikkanayakanahalli Indumathi. "Twenty nail dystrophy in a child with Langerhans cell histiocytosis and tuberculosis." Sudanese Journal of Paediatrics 21 (2021), 200-204. doi:10.24911/SJP.106-1602105103



MLA (The Modern Language Association) Style

James, Vinson, Anand Prakash, and Chikkanayakanahalli Indumathi. "Twenty nail dystrophy in a child with Langerhans cell histiocytosis and tuberculosis." Sudanese Journal of Paediatrics 21.2 (2021), 200-204. Print. doi:10.24911/SJP.106-1602105103



APA (American Psychological Association) Style

James, V., Prakash, . A. & Indumathi, . C. (2021) Twenty nail dystrophy in a child with Langerhans cell histiocytosis and tuberculosis. Sudanese Journal of Paediatrics, 21 (2), 200-204. doi:10.24911/SJP.106-1602105103





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