Multi-System Langerhans cell histiocytosis: Rare case report from Syria

The patient’s labs level was within normal except for CRP was elevated. By three separated measurement (one hour between each), water deprivation test revealed increased serum osmolality, increased serum Na+ and decreased urine osmolality. Hormonal Laboratory tests showed decreased FT4 and Testosterone. Magnet Resonance Imaging of pituitary gland was normal and no abnormality was detected (Figure1). Chest X-ray showed diffuse interstitial reticular densities in both pulmonary fields (Figure 2). X-ray of pelvis and legs showed lytic lesions.