Extensive juvenile xanthogranuloma with autoimmune lymphoproliferative syndrome: report of a case and review

Authors

  • Nudcha Chandayani Division of Dermatology, Department of Medicine, Phramongkutklao hospital, Bangkok
  • Apichat Photia Division of Dermatology, Department of Medicine, Phramongkutklao hospital, Bangkok
  • Chanchai Trivaree Division of Dermatology, Department of Medicine, Phramongkutklao hospital, Bangkok
  • Pajaree Thitthiwong Division of Dermatology, Department of Medicine, Phramongkutklao hospital, Bangkok

Keywords:

Juvenile xanthogranuloma, Autoimmune lymphoproliferative syndrome, Rituximab

Abstract

Juvenile xanthogranuloma (JXG) is an unusual disorder belonging to the group of non-Langerhans cell histiocytosis. Most clinical presentation affects only the skin, but extracutaneous manifestations are not uncommon such as ocular, lung and hematologic involvement. We reported a 6 months old girl presented with extensive lesions of JXG concomitant with thrombocytopenia and hemolytic anemia which finally diagnosed with autoimmune lymphoproliferative syndrome (ALPS). She was treated with intravenous immunoglobulin (IVIG), rituximab and mycophenolate mofetil (MMF). After 6 months of treatment, thrombocytopenia and anemia gradually returned to normal. The spontaneous regression of some skin lesions of JXG were observed after 1 year old. Clinical of ALPS were in remission. To our knowledge, there is no report in the English literature regarding the association between JXG and ALPS.

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Published

2017-12-01

How to Cite

Chandayani, N., Photia, A., Trivaree, C., & Thitthiwong, P. (2017). Extensive juvenile xanthogranuloma with autoimmune lymphoproliferative syndrome: report of a case and review. Thai Journal of Dermatology, 33(4), 258–266. Retrieved from https://he02.tci-thaijo.org/index.php/TJD/article/view/159080