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/HSF98.20051109 | DOI Listing |
JBJS Case Connect
October 2024
Max Institute of Musculoskeletal Sciences, Max Super Speciality Hospital, Saket, New Delhi, India.
Case: Erdheim-Chester's disease (ECD) is a rare multisystem disorder considered as a neoplasm of non-Langerhans cell histiocytes. We report a case of uncemented total hip arthroplasty in a 74-year-old patient with ECD for femoral neck fracture with pathological involvement of distal metaphysis and diaphysis. We reviewed the literature on bony involvement.
View Article and Find Full Text PDFBiomedica
December 2021
Servicio de Oncohematología Pediátrica, Fundación Hospital de La Misericordia, Bogotá, D.C., Colombia.
The Erdheim-Chester’s disease is extremely rare in children. We present the case of a 12-year-old girl with histological and radiological diagnosis of this disease and mutation of the BRAF gene, who developed multisystemic compromise requiring treatment with dabrafenib. We identified 22 reports of this condition among children worldwide and this is the second pediatric case in Latin America.
View Article and Find Full Text PDFArq Bras Cardiol
December 2018
Instituto do Câncer do Estado de São Paulo, São Paulo, SP - Brazil.
Br J Neurosurg
December 2011
Department of Neurosurgery, L.T.M.G. Hospital, Sion, Mumbai, India.
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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