Acral,Pure Cutaneous,Self-Healing,Late-Onset,Cellulitis-Like Langerhans Cell Histiocytosis

Abstract

Background:

An unusual and not yet reported clinical presentation of pure cutaneous Langerhans cell histiocytosis (LCH) that was a diagnostic dilemma.

Objective:

To bring to light the newer presentation of this disease.

Method:

The case was managed on clinical grounds initially as cellulitis. However, after the investigations and confirmation of the diagnosis, she was managed symptomatically.

Results:

Pure cutaneous LCH may manifest in early adulthood with features of cellulitis, erythematous edematous vesicular plaques, and nodules distributed in the flexural acral areas.

Conclusion:

Pure cutaneous LCH may have an acute late onset with unusual morphology as cellulitis, inverse acral distribution, and self-healing.