A searchable database of
medically documented cases

About the Project

A Solitary Variant Of Congenital Self-healing Reticulohistiocytosis: Solitary Hashimoto-pritzker Disease

Berger et al., 1986Other/Unknown

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 child’s growth and development have been normal