Juvenile Xanthogranuloma: An Entity With a Wide Clinical Spectrum

Actas Dermosifiliogr (Engl Ed). 2020 Nov;111(9):725-733. doi: 10.1016/j.ad.2020.07.004. Epub 2020 Jul 25.
[Article in English, Spanish]

Abstract

Juvenile xanthogranulomas (JXGs) are rare, benign lesions that belong to the large group of non-Langerhans cell histiocytoses. JXG presents with 1 or more erythematous or yellowish nodules that are usually located on the head or neck. Most JXG lesions are congenital or appear during the first year of life. Extracutaneous involvement is rare, but the literature traditionally suggests investigating the possibility of ocular compromise. JXG is mainly a clinical diagnosis, but a skin biopsy may sometimes be needed for confirmation. JXGs on the skin are self-limiting and usually do not require treatment. This review describes the clinical and therapeutic aspects of JXG, emphasizing available evidence and the diagnosis of extracutaneous involvement.

Keywords: Congenital juvenile xanthogranuloma ;Systemic juvenile xanthogranuloma; Histiocitosis de células no Langerhans; Juvenile xanthogranuloma; Non-Langerhans cell histiocytosis; Xantogranuloma juvenil; Xantogranuloma juvenil congénito; Xantogranuloma juvenil sistémico.

Publication types

  • Review

MeSH terms

  • Biopsy
  • Histiocytosis, Non-Langerhans-Cell*
  • Humans
  • Skin
  • Xanthogranuloma, Juvenile* / diagnosis