Langerhans cell hyperplasia in scabies: a mimic of Langerhans cell histiocytosis.

Abstract:

AIM:In the absence of mites, the histologic diagnosis of human scabies can be difficult. Scabies can mimic a variety of inflammatory and lymphoproliferative disorders. It is under-recognized that scabies can also mimic Langerhans cell histiocytosis. METHODS:Sixteen examples of scabies were reviewed histologically and immunohistochemically (CD1a, CD3, CD20, CD30 and S100). RESULTS:Immunohistochemical labeling showed florid CD1a and S100 positivity in most cases, indicative of Langerhans cell hyperplasia. Scattered CD30+ lymphocytes were also typically present, within a dense infiltrate, primarily composed of T lymphocytes and eosinophils. CONCLUSION:Because of the prominent CD1a+/S100+ component, scabies can mimic Langerhans cell histiocytosis. This finding should be considered in conjunction with scattered CD30+ cells and clinical features to avoid misdiagnosis.

journal_name

J Cutan Pathol

authors

Bhattacharjee P,Glusac EJ

doi

10.1111/j.1600-0560.2006.00723.x

subject

Has Abstract

pub_date

2007-09-01 00:00:00

pages

716-20

issue

9

eissn

0303-6987

issn

1600-0560

pii

CUP723

journal_volume

34

pub_type

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