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Thorax 1998;53:323-325 ( April )

Case report

Recurrence of recipient Langerhans' cell histiocytosis following bilateral lung transplantation S B Habib,a J Congleton,b D Carr,b J Partridge,a B Corrin,b c D M Geddes,b N Banner,a c M Yacoub,a c M Burkea

a Transplant Unit, Harefield Hospital, Harefield, Middlesex UB9 6JH, UK, b Royal Brompton Hospital, Sydney Street, London SW3 6NP, UK, c National Heart and Lung Institute of Imperial College of Science Technology and Medicine, University of London, Dovehouse Street, London SW3 6LY, UK

Correspondence to: Dr M Burke, Department of Pathology, Harefield Hospital, Middlesex UB9 6JH, UK.

Received 23 July 1997; Returned to authors 16 October 1997; Revised version received 4 November 1997; Accepted for publication 20 November 1997

Langerhans' cell histiocytosis may cause irreversible respiratory failure due to progressive destruction of lung parenchyma and widespread cystic change. Transplantation offers a therapeutic option. A case is described of recurrence of Langerhans' cell histiocytosis which was associated with deterioration in lung function four years following bilateral lung transplantation. Patients transplanted for Langerhans' cell histiocytosis should be followed up with this complication in mind.


© 1998 by Thorax



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