Radiologic Findings of Scapular Langerhans Cell Histiocytosis Successfully Treated with CT-Guided Corticosteroid Injection.

Abstract

Although Langerhans cell histiocytosis (LCH) may arise from any bone, flat bones (skull, ribs, scapula, clavicle, and mandible) are more commonly involved.The overall reported incidence of scapular involvement by LCH is nearly 3% in the literature. Intra-lesional corticosteroid injection can be given for lesions that cause pain or postural deformity. We, herein, report a 26-year male with scapular LCH who was suffering from right shoulder pain and right arm weakness. The patient received intra-lesional methylprednisolone under CT-guidance for treatment. On follow-up imaging, almost total regression was observed. We suggest that percutaneous CT-guided intra-lesional steroid injection is an efficient method for the treatment of LCH located in bone. Key Words: Bone, Langerhans cell histiocytosis, Local treatment, Corticosteroid.

• Authors: Cennet Sahin, Burcin Agridag Ucpinar, Yunus Oc, Fevziye Kabukcuoglu
• Journal: Journal of the College of Physicians and Surgeons--Pakistan : JCPSP (J Coll Physicians Surg Pak) Vol. 30 Issue 7 Pg. 754-756 (Jul 2020) ISSN: 1681-7168 [Electronic] Pakistan
• PMID: 32811609 (Publication Type: Case Reports, Journal Article)

Chemical References

• Adrenal Cortex Hormones
• Methylprednisolone

Topics

• Adrenal Cortex Hormones (administration & dosage)
• Adult
• Histiocytosis, Langerhans-Cell (diagnostic imaging, drug therapy)
• Humans
• Male
• Methylprednisolone
• Scapula (diagnostic imaging)
• Tomography, X-Ray Computed