Twenty nail dystrophy in a child with Langerhans cell histiocytosis and tuberculosis

Vinson James; Anand Prakash; Chikkanayakanahalli Indumathi

doi:10.24911/SJP.106-1602105103

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Sudan J Paed. 2021; 21(2): 200-204

doi: 10.24911/SJP.106-1602105103

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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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

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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