Table 1.

Past medical history

AgeClinical findings
Birth Extensive rash, resolves over 1 y 
12 y Stopped growing 
14 y Growth hormone deficiency diagnosed, frequent otitis externa 
20 y Vulvar lesions; biopsy proves LCH, also axillary rash; never had menarche; hypogonadism 
23 y Diabetes insipidus 
25 y Treated with radiotherapy to pituitary, vinblastine/prednisone 
26 y Recurrent skin LCH; reinduction with vinblastine/prednisone, then 6MP/Mtx for 1 y 
32 y Chronic bone pain, bone scan suggesting lesions, biopsy inconclusive 
33 y Hormone supplementation required for pregnancy 
AgeClinical findings
Birth Extensive rash, resolves over 1 y 
12 y Stopped growing 
14 y Growth hormone deficiency diagnosed, frequent otitis externa 
20 y Vulvar lesions; biopsy proves LCH, also axillary rash; never had menarche; hypogonadism 
23 y Diabetes insipidus 
25 y Treated with radiotherapy to pituitary, vinblastine/prednisone 
26 y Recurrent skin LCH; reinduction with vinblastine/prednisone, then 6MP/Mtx for 1 y 
32 y Chronic bone pain, bone scan suggesting lesions, biopsy inconclusive 
33 y Hormone supplementation required for pregnancy 

6MP/Mtx, 6-mercaptopurine and methotrexate.

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