Congenital giant juvenile xanthogranuloma is an uncommon lesion that a
pparently has benign biologic behavior in most reported patients. In o
ne of our three patients it was necessary to perform histochemical rea
ctions with CD 1 (-), MAC 387, and electron microscopy to rule out Lan
gerhans cell histiocytosis. The other patients had a typical histologi
c picture, with foamy histiocytes and Touton cells in association with
lymphocytes and eosinophils. Comments about treatment are also made.