The case of histiocytosis X (Hand - Schüller – Christian disease) with thyroid gland lesion

Histiocytosis X, which is a rare disease, combines 3 related but different in clinical manifestation, course and prognosis of the syndrome: eosinophilic granuloma (Taratynov’s disease), Hand – Schüller – Christian disease (syndrome) and Letterer – Siwé disease (syndrome). The clinical picture of Hend – Schüller – Christian disease was first described by Hand in 1893, then by Schüller in 1915 and Christian in 1920. The term “histiocytosis X” was first proposed in 1953 by Liechtenstein, who combined all 3 of the aforementioned diseases under this name. on the basis of the similarity of the clinical picture, the possibility of a mutual transition from one state to another and typical morphological manifestations consisting in the proliferation of histiocytes and the accumulation of various lipids in their cytoplasm. In 1965, this concept was confirmed in all three diseases, there are no special pentalaminar markers in the cytoplasm of histiocytes that are detected in Langerhans cells (hence the name of these inclusions - "Langerhans cell granules"), the origin and biological significance of which remains unclear. Histiocytes have no signs of atypia, although they infiltrate many organs and tissues retain their normal properties. Histiocytic proliferation can develop in various organs and tissues, causing them to corresponding functional and morphological changes.

1. Беренбей Б. А., Лезвинская Е. М., Попов В. М., Хрулева Н.Л. // Вести, дерматол. — 1991. — № 10. — С. 49—54.

2. Дедов И. И., Мельниченко Г. А. Персистирующая галакто- рея-аменорея. — М., 1985. — С. 116—118.

3. Ефременко С. Г., Линчевская Г. А. // Мед. радиол. — 1975. - № 3. - С. 72-75.

4. Каламкарян А. А., Гребенюк В. Н., Зотова И. Н. и др. // Вести, дерматол. — 1988. — № 9. — С. 46—50.

5. Кайлаков Л. М. // Клин. мед. — 1985. — № 3. — С. 106— 108.

6. Леменева 3. Л., Иванов О. Л., Мельниченко Г. А. и др. // Пробл. эндокринол. — 1982. — № 6. — С. 57—58.

7. Лукина Е. А., Кузнецов В. П., Беляев Д. Л. и др. // Тер. арх. - 1993. - № 11. - С. 67-70.

8. Шуцкий Н. В. Справочник по детской дерматовенерологии. — Киев, 1988. — С. 43—46.

9. Laczi Г., Czako L., Laszio Г. А. // Endokrinologie. — 1977. — Bd 70, N 3. - S. 331-339.