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Whole-exome sequencing showed a novel homozygous splice mutation (c.657+1[IVS6] GA) in the EPCAM gene. He was treated with TPN and recombinant human growth hormone. After 2 mo, his body weight was up to 8500 g and he has been waiting for small bowel transplantation. CTE is rare but fatal. Patients with CTE require rapid diagnosis and therapy to improve their survival. CTE is rare but fatal. Patients with CTE require rapid diagnosis and therapy to improve their survival. Langerhans cell histiocytosis (LCH) is a rare condition wherein