Zusammenfassung
Histiozytosen kommen durch eine Ansammlung von dendritischen Zellen oder Makrophagen zustande. 5 Gruppen werden unterschieden: die Langerhans-Zell-Gruppe, kutane und mukokutane Non-Langerhans-Zell-Histiozytosen, maligne Histiozytosen, die Rosai-Dorfman Krankheit und die hämophagozytische Lymphohistiozytose. Die seltenen Langerhans-Zell-Histiozytosen umfassen lokalisierte bis generalisierte sowie selbstlimitierende bis lebensbedrohliche Manifestationen bei Kindern und Erwachsenen. Am häufigsten sind Knochen und Haut betroffen. Den häufigeren, zumeist gutartig verlaufenden Non-Langerhans-Zell-Histiozytosen liegt eine nodulär bis diffuse Makrophagen-dominierte Dermatitis zugrunde. Die Xanthogranulom-Familie betrifft vorwiegend Kinder, meistens kommt es zu Spontanremission. Die weiteren Histiozytosen sind sehr selten. Lebensbedrohlich können die malignen Histiozytosen oder die hämophagozytische Lymphohistiozytose verlaufen.
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Ratzinger, G., Zelger, B. (2018). Histiozytosen. In: Plewig, G., Ruzicka, T., Kaufmann, R., Hertl, M. (eds) Braun-Falco’s Dermatologie, Venerologie und Allergologie. Springer Reference Medizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-49544-5_112
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