Major response to vemurafenib in patient with severe cutaneous Langerhans cell histiocytosis harboring BRAF V600E mutation  Julie Charles, MD, PhD, Jean-Claude.

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Major response to vemurafenib in patient with severe cutaneous Langerhans cell histiocytosis harboring BRAF V600E mutation  Julie Charles, MD, PhD, Jean-Claude Beani, MD, Giacomo Fiandrino, MD, Benoit Busser, PharmD, PhD  Journal of the American Academy of Dermatology  Volume 71, Issue 3, Pages e97-e99 (September 2014) DOI: 10.1016/j.jaad.2014.03.038 Copyright © 2014 American Academy of Dermatology, Inc. Terms and Conditions

Fig 1 Langerhans cell histiocytosis and vemurafenib response. Inframammary folds (upper images) and left groin area (lower images) before and after a 6-months period of vemurafenib treatment. Journal of the American Academy of Dermatology 2014 71, e97-e99DOI: (10.1016/j.jaad.2014.03.038) Copyright © 2014 American Academy of Dermatology, Inc. Terms and Conditions

Fig 2 Histologic and immunohistologic pictures of Langerhans cell histiocytosis. A, Histologically, tumor cells were medium-sized, with grooved or indented nuclei and abundant eosinophilic cytoplasms. Moderate cellular pleomorphism was also a feature. Mitoses were not exceptional, with absence of overtly atypical forms. B, Low-power view of the biopsy specimen before treatment. C, Tumor cells were uniformly stained by the CD1a antibody, which also highlighted epidermotropic tumor cells. D, After 3 weeks of vemurafenib treatment, the dermal infiltrate had entirely disappeared, being replaced by mixed inflammatory cells. E, After treatment, immunostaining for CD1a was restricted to skin-resident Langerhans cells. (A, B, and D, Hematoxylin-eosin stain; original magnifications: A, ×40; B, ×2.5; D, ×2.5. C and E, SABC; original magnifications: C, ×10; E, ×5.) Journal of the American Academy of Dermatology 2014 71, e97-e99DOI: (10.1016/j.jaad.2014.03.038) Copyright © 2014 American Academy of Dermatology, Inc. Terms and Conditions