Langerhans cell histiocytosisLangerhans cell histiocytosis (PLCH) (also known as Langerhans cell granulomatosis, eosinophilic granuloma, and histiocytosis X) Although monocytes-macrophages were originally thought to be the major antigen-presenting cells (APCs) of the immune system, it is now clear that dendritic/Langerhans cells are the most potent and effective APCs in the body. Dendritic/Langerhans Cells Dendritic/Langerhans cells are bone marrow-derived APCs that are distinct from monocytes-macrophages and are derived from both lymphoid and myeloid lineages. Dendritic cells are referred to as Langerhans cells when they are present in the skin and beneath the mucosal surface. They comprise the dendritic cells of the blood and the spleen and the veil cells of afferent lymphatics, and they form part of the interdigitating cell network of lymphoid organs. Large granular lymphocytes (LGLs) account for approximately 5 to 10% of peripheral blood lymphocytes. LGLs are nonadherent, nonphagocytic cells with large azurophilic cytoplasmic granules. |
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