ROSAI DORFMAN DISEASE WITH EXTENSIVE BONY INVOLVEMENT- A DIAGNOSTIC DILEMMA

Authors

  • Maria Zahid Ahmed Sindh Institute of Urology and Transplantation Karachi
  • Madiha Mahmood Sindh Institute of Urology And Transplant, Karachi
  • Jawaharlal Langhani Sindh Institute Of Urology And Transplant Karachi
  • Muhammad Zohair Sindh Institute Of Urology And Transplant Karachi
  • Mahnoor Virk Sindh Institute Of Urology And Transplant
  • Muhammad Mubarak Sindh Institute Of Urology And Transplant Karachi
  • Fazal Akhtar Sindh Institute of Urology And Transplant Karachi
  • Ejaz Ahmed Sindh Institute Of Urology And Transplant Karachi

DOI:

https://doi.org/10.55519/JAMC-03-11450

Keywords:

Pyrexia of unknown origin, Histiocytic disorder, Non Langerhan cell histiocytosis, Immune Mediated

Abstract

Previously classified as Non Langerhan cell histiocytosis by Working Group of Histiocytic Society in 1987 Rosai Dorfman Destombes disease was first described by Destombes in 1965 and later in 1969 by Rosai and Dorfman as a rare histiocytic disorder with sinus histiocytosis and massive lymphadenopathy. They exist as both nodal and extranodal forms. Immunohistochemistry is an essential part of diagnosis as to differentiate between Langerhans cell histiocytosis and another malignant histiocytosis. Some overlap has also been reported with IgG4-related diseases. We hereby reflect upon a patient who presented to our facility with pyrexia of unknown origin, the challenges faced in order to reach a diagnosis and the management offered.

Author Biographies

Maria Zahid Ahmed, Sindh Institute of Urology and Transplantation Karachi

Consultant Haematologist, FRCPath Haematology UK

Madiha Mahmood, Sindh Institute of Urology And Transplant, Karachi

Consultant Internal Medicine, FCPS Internal medicine

Jawaharlal Langhani, Sindh Institute Of Urology And Transplant Karachi

Consultant Internal Medicine, FCPS Internal Medicine

Muhammad Zohair, Sindh Institute Of Urology And Transplant Karachi

Resident Internal Medicine

Mahnoor Virk, Sindh Institute Of Urology And Transplant

Resident Internal medicine

Muhammad Mubarak, Sindh Institute Of Urology And Transplant Karachi

Professor of Pathology, FCPS Histopathology

Fazal Akhtar, Sindh Institute of Urology And Transplant Karachi

Professor of Nephrology, FRCP (Nephro), FRCP (Medicine)

Ejaz Ahmed, Sindh Institute Of Urology And Transplant Karachi

Professor of Nephrology, FRCP Nephro

References

Bruce-Brand C, Schneider JW, Schubert P. Rosai-Dorfman disease: an overview. J Clin Pathol 2020;73(11):697–705.

Foucar E, Rosai J, Dorfman R. Sinus histiocytosis with massive lymphadenopathy (Rosai-Dorfman disease): review of the entity. Semin Diagn Pathol 1990;7(1):19–73.

Parkash O, Yousaf MS, Fareed G. Rosai-Dorfman's disease, an uncommon cause of common clinical presentation. J Pak Med Assoc 2019;69(8):1213–5.

Soomro IN, Hameed K. Arthritis and rosai-dorfman disease of the skin: a diagnostic dilemma. J Pak Med Assoc 1999;49(11):280–2.

Mosheimer BA, Oppl B, Zandieh S, Fillitz M, Keil F, Klaushofer K, et al. Bone involvement in Rosai-Dorfman disease (RDD): a case report and systematic literature review. Curr Rheumatol Rep 2017;19(5):29.

Mallick S, Ghosh R, Iyer VK, Jain D, Mathur SR. Cytomorphological and morphometric analysis of 22 cases of Rosai-Dorfman disease: a large series from a tertiary care centre. Acta Cytol 2013;57(6):625–32.

Demicco EG, Rosenberg AE, Björnsson J, Rybak LD, Unni KK, Nielsen GP. Primary Rosai-Dorfman disease of bone: a clinicopathologic study of 15 cases. Am J Surg Pathol 2010;34(9):1324–33.

Abla O, Jacobsen E, Picarsic J, Krenova Z, Jaffe R, Emile JF, et al. Consensus recommendations for the diagnosis and clinical management of Rosai-Dorfman-Destombes disease. Blood 2018;131(26):2877–90.

Goyal G, Ravindran A, Young JR, Shah MV, Bennani NN, Patnaik MM, et al. Clinicopathological features, treatment approaches, and outcomes in Rosai-Dorfman disease. Haematologica 2020;105(2):348–57.

Additional Files

Published

2023-07-09

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