“…Our study is the first to describe the clinical phenotype of histiocytosis patients with a BRAF Δβ3-αC , and showed a high frequency of sclerosing cholangitis and vulvar manifestations, which are typical LCH manifestations but usually rarely observed. In previous published cohorts of adults, liver manifestations are described in 10-15% of LCH cases 10 , and a study of 14 pediatric patients with LCH and liver involvement showed a 100% prevalence of BRAF V600E mutation 11 .Vulvar manifestations have only been described in some cases series 12 .…”