Successful treatment of congenital systemic juvenile xanthogranulomatosis with pulmonary involvement

Pediatr Dermatol. 2021 Jul;38(4):892-894. doi: 10.1111/pde.14634. Epub 2021 May 17.

Abstract

Juvenile xanthogranuloma (JXG) is a common form of non-Langerhans cell histiocytosis, which usually presents with spontaneously regressing skin lesions. Systemic involvement is rare and mostly seen in patients with multiple skin nodules. It can spontaneously regress, but sometimes systemic involvement can cause life-threatening symptoms and can be fatal. Herein, we report a case of congenital systemic JXG with multiple skin nodules, soft tissue and pulmonary involvement. She was successfully treated with chemotherapy according to Langerhans cell histiocytosis treatment protocol IV of the Histiocyte Society (LCH-IV).

Keywords: congenital juvenile xanthogranuloma; lung metastases; systemic juvenile xanthogranuloma.

Publication types

  • Case Reports

MeSH terms

  • Female
  • Histiocytosis, Langerhans-Cell* / diagnosis
  • Histiocytosis, Langerhans-Cell* / drug therapy
  • Histiocytosis, Non-Langerhans-Cell*
  • Humans
  • Skin Neoplasms*
  • Xanthogranuloma, Juvenile* / diagnosis
  • Xanthogranuloma, Juvenile* / drug therapy