AI Article Synopsis
- This report discusses an unusual case of Erdheim-Chester disease (ECD), highlighting its unique symptoms and challenges in diagnosis.
- The patient presented with significant organ involvement, particularly an uncommon pancreatic enlargement not usually linked to ECD.
- Advanced techniques like contrast-enhanced harmonic endoscopic ultrasonography (CEH-EUS) and EUS-fine needle aspiration (EUS-FNA) were shown to be effective in identifying and characterizing ECD lesions, marking the first documentation of pancreatic lesions in ECD patients assessed with CEH-EUS.
Article Abstract
We herein report an unusual case of Erdheim-Chester disease (ECD), a rare non-Langerhans cell histiocytosis, and emphasize its unique presentation and diagnostic challenges. Our patient exhibited uncommon symptoms and significant organ involvement, particularly pancreatic enlargement that is not typically associated with ECD. Contrast-enhanced harmonic endoscopic ultrasonography (CEH-EUS) and EUS-fine needle aspiration (EUS-FNA) play crucial roles in the comprehensive assessment of the disease, demonstrating their superiority in identifying and characterizing elusive ECD lesions. This is the first report to document pancreatic lesions in patients with ECD evaluated using CEH-EUS. EUS-FNA is valuable for diagnosing rare diseases, including ECD, with diffuse pancreatic enlargement.
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| http://dx.doi.org/10.2169/internalmedicine.3864-24 | DOI Listing |
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