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Late recurrence of Langerhans cell histiocytosis in the orbit
  1. J A Escardó-Paton1,
  2. J Neal2,
  3. C M Lane2
  1. 1Bristol Eye Hospital, Bristol, UK
  2. 2University Hospital of Wales, Cardiff, UK
  1. Correspondence to: J A Escardó-Paton Bristol Eye Hospital, Lower Maudlin Street, Bristol BS1 2LX, UK; escaj99yahoo.com

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We report a rare case of Langerhans cell histiocytosis (LCH) of bone in which recurrence occurred in the orbit 16 years after the initial lesion.

Case report

An otherwise healthy 23 year old man presented to the eye casualty department complaining of severe pain around his left lateral orbital rim for 8 days. Two weeks previously he had suffered a minor blow to the left side of his face. At the age of 7 he had had a sacroiliac eosinophilic granuloma, which was treated surgically.

On examination, there was a small, tender, bony swelling immediately lateral to his left lateral canthus. There was no associated pyrexia, cellulitis, eyelid induration, or lymphadenopathy. Examination of the globe was normal. He was prescribed oral analgesics and antibiotics. One week later, the pain and swelling had increased and there was mild mechanical restriction of abduction of the left eye. His full blood count and …

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