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Eosinophilic Granuloma of the Hand

From the Department of Orthopaedic Surgery, Northwick Park Hospital, London, UK

Correspondence: M.A.W. Miller FRCS, Research Fellow, Department of Urology, Royal Free Hospital, London, UK.

The first reported case of eosinophilic granuloma of the hand is presented. A slowly expanding lesion of the right third metacarpal shaft was treated by biopsy and curettage. Histological examination confirmed the presence of eosinophilic granuloma. A bone scan showed that it was a solitary lesion. There has been no evidence of recurrence of the lesion during follow-up. Eosinophilic granuloma is a rare disease of the mononuclear phagocyte system, representing one of the clinical manifestations of Langerhans-cell histiocytosis. The lesions are usually associated with the skull, femur, mandible and ribs; this condition has not been previously reported in the hand.

Journal of Hand Surgery (British and European Volume), Vol. 18, No. 6, 742-745 (1993)
DOI: 10.1016/0266-7681(93)90234-7


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