The use of preventive pleurodesis in patient with Langerhans-cell histiocytosis with lung involvement: the case report and the review

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Abstract

Langerhans-cell histiocytosis (LCH) is a rare myeloid neoplasia (about 3 cases per 1 000 000 children yearly). Lung involvement is rare, usually as a part of multisystem disease. Clinically these lesions manifest with signs of respiratory insufficiency like dyspnea, cough and desaturation. Imaging shows nodules that are gradually transforming into thick- or thin-walled cysts. Rapture of these cysts leads to the pneumothorax which requires drainage. Our report shows clinical case of use of elective pleurodesis to prevent life-threatening complications of histologically confirmed LCH with lung involvement, which can develop either as a result of the disease or due to chemotherapy.

About the authors

D. A. Evseev

Dmitriy Rogachev National Medical Research Center of Pediatric Hematology, Oncology, Immunology

Author for correspondence.
Email: dmitryevseev1991@gmail.com
ORCID iD: 0000-0001-8610-0624

Dmitry A. Evseev, MD, immunologist 

117997, Moscow, Samory Mashela st., 1

Russian Federation

I. I. Kalinina

Dmitriy Rogachev National Medical Research Center of Pediatric Hematology, Oncology, Immunology

ORCID iD: 0000-0002-0813-5626
Russian Federation

N. G. Uskova

Dmitriy Rogachev National Medical Research Center of Pediatric Hematology, Oncology, Immunology

ORCID iD: 0000-0001-9424-1646
Russian Federation

A. E. Samarin

Dmitriy Rogachev National Medical Research Center of Pediatric Hematology, Oncology, Immunology

Russian Federation

E. V. Raykin

Dmitriy Rogachev National Medical Research Center of Pediatric Hematology, Oncology, Immunology

ORCID iD: 0000-0002-7634-2053
Russian Federation

T. Yu. Salimova

Dmitriy Rogachev National Medical Research Center of Pediatric Hematology, Oncology, Immunology

ORCID iD: 0000-0002-2958-1705
Russian Federation

D. D. Baydildina

Dmitriy Rogachev National Medical Research Center of Pediatric Hematology, Oncology, Immunology

Russian Federation

O. V. Goronkova

Dmitriy Rogachev National Medical Research Center of Pediatric Hematology, Oncology, Immunology

ORCID iD: 0000-0001-8571-5395
Russian Federation

A. M. Mitrofanova

Dmitriy Rogachev National Medical Research Center of Pediatric Hematology, Oncology, Immunology

Russian Federation

M. A. Maschan

Dmitriy Rogachev National Medical Research Center of Pediatric Hematology, Oncology, Immunology

ORCID iD: 0000-0003-1735-0093
Russian Federation

A. A. Maschan

Dmitriy Rogachev National Medical Research Center of Pediatric Hematology, Oncology, Immunology

ORCID iD: 0000-0002-0016-6698
Russian Federation

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Copyright (c) 2018 Evseev D.A., Kalinina I.I., Uskova N.G., Samarin A.E., Raykin E.V., Salimova T.Y., Baydildina D.D., Goronkova O.V., Mitrofanova A.M., Maschan M.A., Maschan A.A.

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