日本口腔診断学会雑誌
Online ISSN : 2188-2843
Print ISSN : 0914-9694
ISSN-L : 0914-9694
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コルチコステロイド病巣内注射により寛解した小児下顎ランゲルハンス細胞組織球症の2症例
田中 洋充大石 建三溝畑 和恵呉 孟樺佐野 寿哉植埜 修司河野 多香子島 盛隆紙谷 仁之
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ジャーナル 認証あり

2025 年 38 巻 1 号 p. 18-26

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Langerhans cell histiocytosis (LCH) is an inflammatory neoplasm of myeloid origin characterized by the accumulation of CD1a/CD207 dendritic cells. Recently, the BRAFV600E mutation has been reported in half of patients with LCH, and BRAFV600E expression was associated with increased risk of recurrence. This report presents two pediatric cases with LCH affecting the right posterior mandible. Both were successfully treated with intralesional injection of dexamethasone (6mg) in one single session. Complete recovery was confirmed approximately 4-5 years after injection. Intralesional corticosteroid is a less invasive alternative to the classical surgical treatment.
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