AI Article Synopsis

  • Erdheim-Chester's disease is a rare condition characterized by xanthogranulomatosis that primarily affects the skeletal system but can also involve soft tissues.
  • A unique case is presented involving a cardiac variant that includes pericardial effusion and simultaneous orbital manifestations.
  • The study outlines a diagnostic approach and suggests using nonsteroidal anti-inflammatory drugs (NSAIDs) as a potential treatment, exploring the role of cyclo-oxygenase in the disease process.

Article Abstract

Erdheim-Chester's disease is a rare multisystem xanthogranulomatosis, afflicting the skeletal system with the occasional involvement of soft tissues. We delineate an unusual case of a cardiac variant of Erdheim-Chester's disease presenting with pericardial effusion and as a collision with a synchronous orbital manifestation. We describe our diagnostic pathway and propose a novel treatment option involving nonsteroidal anti-inflammatory drugs. The role of cyclo-oxygenase in the disease process and inhibition thereof by NSAIDs is hypothesized and discussed.

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http://dx.doi.org/10.1532/HSF98.20051109DOI Listing

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Article Synopsis
  • - Erdheim-Chester Disease is a rare inflammatory myeloid neoplasm primarily affecting men over 50 years old, though its exact incidence is unknown.
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Xanthogranulomas involving the central nervous system are uncommon, of which dural-based xanthogranuloma is rare. Xanthogranuloma of the dura large enough to cause symptoms is very rare. Intracranial xanthogranuloma usually occurs in association with systemic diseases like histiocytosis X or familial hyperproteinemia or Erdheim-Chester's disease.

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