Erdheim-Chester disease presenting with cough, abdominal pain, and headache.
CT imaging
Early diagnosis
Rare disease
Journal
Radiology case reports
ISSN: 1930-0433
Titre abrégé: Radiol Case Rep
Pays: Netherlands
ID NLM: 101467888
Informations de publication
Date de publication:
Jun 2020
Jun 2020
Historique:
received:
03
12
2019
revised:
05
03
2020
accepted:
06
03
2020
entrez:
18
4
2020
pubmed:
18
4
2020
medline:
18
4
2020
Statut:
epublish
Résumé
Erdheim-Chester disease (ECD) is a rare non-Langerhans cell histiocytic disorder. The diagnosis was based on the relationship between radiologic findings, clinical manifestations, and pathologic features of the bone biopsy. We report a case of ECD with unusual presenting symptoms: a 56 year-old man presented with cough, abdominal pain, and recurrent episodes of headache associated without any seizures. Peculiar computer tomography (CT) findings were key for the diagnostic suspicion. Bone biopsy and other radiological investigations confirmed the diagnosis. CT findings can help raise the suspicion of ECD. CT is easy to perform and widely available in comparison with kinetic cardiac magnetic resonance imaging and nuclear imaging. Therefore, CT findings of ECD can reduce the therapeutic delay between diagnosis and therapy prescription.
Identifiants
pubmed: 32300470
doi: 10.1016/j.radcr.2020.03.008
pii: S1930-0433(20)30088-1
pmc: PMC7152688
doi:
Types de publication
Case Reports
Langues
eng
Pagination
745-748Informations de copyright
© 2020 The Authors. Published by Elsevier Inc. on behalf of University of Washington.
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