sups..
hopefully this will help both of us...g'luck studying by the way
maco, dendritic and langerhans cells---> all phagocytic type cells and more importantly all are APC (they are all a type of macrophage).
Hence they all contain Class 1 MHC (like all nucleated cells) and Class II MHC important in Ag presentation to T cells.
Dendritic cells are primarily in the Lymph node/spleen/thymus. An important distinction is that dendritic cells are the cells that can present to naive T cells as part of the positive selection process within the thymus.
Langerhans cells are macrophage cells in the skin that will serve the same APC purpose.
Langhans cells are a type of multinucleated giant cell whose nuclei is arranged in the periphery (horse-shoe shaped). They are seen in TB primarily, but this IS NOT a diagnostic feature. Multinucleated giant cells are important in granulomatous reactions (TB, sarcoid, cat-scratch fever, berrylliosis, etc).
on the exam though, the defining characteristic of a granuloma is the epitheliod cell (which is a differentiated macrophage).
hope this helps.
ucb