A Solitary Variant Of Congenital Self-healing Reticulohistiocytosis: Solitary Hashimoto-pritzker Disease
Pediatric Dermatology 3(3): June 1986; 230-236
View Original Source →Abstract
A newborn male Thai infant had numerous brownish red nodules of various sizes scattered over both palms and soles, left thigh, abdomen, chin, and left upper eyelid. An extremely large tumor mass was present on the right sole. Many lesions showed spontaneous ulceration. No extracutaneous involvement was found. All lesions involuted spontaneously within two to three months, some with scar formation. Histology showed large numbers of mononucleated and multinucleated histiocytic cell infiltrations, 10% of which contained Birbeck’s granules. Areas of necrosis and calcification were also seen in the largest tumor. No recurrence was observed after follow-up for three years.
Case Details
Personal Characteristics
A 3,510 gram male child, born to a 19-year-old, black, gravida 2, para 2 woman
Clinical Characteristics
1 centimeter, dry, crateriform nodule with central necrotic ulceration
Remission Characteristics
The skin lesion crusted and involuted at 2 weeks, and by 9 weeks consisted only of a small, flat, hyperpigmented 1 centimeter scar
Treatment & Mechanisms
Proposed Remission Mechanisms
Not discussed
Clinical Treatment
Treated successfully with keflex for recurrent urinary tract infections
Additional Notes
The childs growth and development have been normal