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Peri-anal Langerhans cell histiocytosis
  1. Sneha Anil Bonde,
  2. Mathrubootham Sridhar,
  3. Radhakrishnan Satheesan
  1. Departmnt of Pediatrics, Apollo Children's Hospital, Chennai, Tamil Nadu, India
  1. Correspondence to Dr Sneha Anil Bonde, Pediatrics, Apollo Children's Hospital, Chennai 600006, Tamil Nadu, India; drsnehabonde{at}

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A two-year-old boy presented with prolonged constipation and a perianal rash. His perianal painful lesion (figure 1), which precipitated his constipation, resembled a fungal infection, which was treated with antifungals without success. He had developed nail lesions (figure 2), palatal and gum hypertrophy and lesions suggestive of seborrheic dermatitis. He was treated for mucocutaneous candidiasis with zinc supplements, but the excoriation persisted. He had …

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  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Parental/guardian consent obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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