Background: The coexistence of Rosai-Dorfman disease (RDD) with Langerhans cell histiocytosis (LCH) is very rare, as to date only 17 cases have been reported in the english literature. The pathophysiology of this uncommon co-occurrence still remains enigmatic and a subject of various speculations.

Case Presentation: We report a case of a 30-year-old female patient who presented with a pathologic fracture of the left proximal femur. Her medical history was unremarkable, there were no fever, skin lesions, lymphadenopathy or other organomegaly at physical examination. X-ray radiograph of the fractured femur showed an isolated and ill-defined osteolytic lesion. The histopathological analysis of biopsies from this lesion were consistent with a combined RDD-LCH of the bone.

Conclusion: Combined RDD-LCH is a very rare phenomenon, whose pathophysiology still remains unclear and a subject of various speculations.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5383940PMC
http://dx.doi.org/10.1186/s12907-017-0044-1DOI Listing

Publication Analysis

Top Keywords

pathologic fracture
8
langerhans cell
8
cell histiocytosis
8
rosai-dorfman disease
8
combined rdd-lch
8
bone pathologic
4
fracture revealing
4
revealing unusual
4
unusual association
4
association coexistence
4

Similar Publications

Bone-modifying agents (BMAs) have been widely used to reduce skeletal-related events, including pathological fractures. Herein, we aimed to clarify the incidence of pathological fractures caused by high-risk femoral bone metastases after palliative radiotherapy (RT) in the BMA era and evaluate the necessity of prophylactic surgical stabilization. We assessed 90 patients with high-risk femoral bone metastases, indicated by Mirels' scores ≥ 8, without pathological fractures and surgical fixations, who received palliative RT at our institution between January 2009 and December 2018.

View Article and Find Full Text PDF

Traumatic brain injury (TBI) after high-energy, behind helmet blunt trauma (BHBT) is an important but poorly understood clinical entity often associated with apnea and death in humans. In this study, we use a swine model of high-energy BHBT to characterize key neuropathologies and their association with acute respiratory decompensation. Animals with either stable or critical vital signs were euthanized within 4 h after injury for neuropathological assessment, with emphasis on axonal and vascular pathologies in the brainstem.

View Article and Find Full Text PDF

Is there an optimal perioperative risk assessment tool for older adult ankle fractures?

Arch Orthop Trauma Surg

December 2024

Department of Orthopaedic Surgery and Rehabilitation, Loyola University Medical Center, 2160 S First Ave, Maywood, IL, 60153, USA.

Objective: To measure the predictive value of three perioperative risk assessment tools (National Surgical Quality Improvement Program-NSQIP, Modified 5-factor Frailty Index-mFI-5, and Score for Trauma Triage in Geriatric and Middle Aged-STTGMA) in predicting postoperative complications in older adult ankle fractures.

Materials And Methods: This is a retrospective study of surgically treated isolated older adult ankle fractures at an academic center between 2007 and 2022. Exclusion criteria included age < 55 years, presence of pathologic fractures, and having multiple orthopaedic injuries.

View Article and Find Full Text PDF
Article Synopsis
  • - Bone stress injuries (BSIs) are overuse injuries that occur when there's repetitive strain on bone, either from excessive physical activity on healthy bone or normal activity on already weakened bone, often seen in younger athletes and those with medical conditions affecting bone density.
  • - Stress fractures are a severe form of BSIs, representing about 20% of cases and show clear signs on imaging; untreated, they can lead to complete fractures, with the main symptoms being localized pain and tenderness in response to increased physical loads.
  • - Treatment involves early intervention, focusing on modifying risk factors like nutrition and activity; imaging such as X-rays and MRIs help confirm BSIs, with management approaches varying based on the injury's severity and location, necessitating specialist
View Article and Find Full Text PDF

Background: Most olecranon fractures are intra-articular, affecting the extensor mechanism of the elbow, and are treated surgically with dorsal plate fixation or tension band. Due to shortcomings of dorsal plates related to prominence, insufficient fixation of sagittal fracture lines, and difficulty matching proximal ulna dorsal angulation (PUDA), dual medial and lateral plating (DP) has been developed. We hypothesized that olecranon fractures treated with DP would have low complication rates and low incidence of hardware removal compared with those treated with traditional methods of fixation.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!