Primary cutaneous Rosai-Dorfman-Destombes disease with features mimicking IgG4-related disease: A challenging case report and literature review.
Destombes disease
Dorfman
IgG4-related disease
Rosai
pathology
skin
Journal
The Australasian journal of dermatology
ISSN: 1440-0960
Titre abrégé: Australas J Dermatol
Pays: Australia
ID NLM: 0135232
Informations de publication
Date de publication:
Aug 2022
Aug 2022
Historique:
revised:
03
04
2022
received:
08
02
2022
accepted:
25
04
2022
pubmed:
19
5
2022
medline:
17
8
2022
entrez:
18
5
2022
Statut:
ppublish
Résumé
Rosai-Dorfman-Destombes disease (RDD) is a rare histiocytic disorder affecting lymph nodes as well as extranodal sites. Although cutaneous involvement in RDD is common, primary cutaneous RDD is a distinct and not well-documented entity with unknown aetiology and non-specific clinicopathological features. We report a case of a 57-year-old patient, who presented with an indolent skin nodule in the left sub-nipple area. Surgical excision was performed. Histological examination concluded to the diagnosis of cutaneous RDD with histological features mimicking IgG4-related disease. The diagnosis of systemic RDD with cutaneous involvement was ruled out after exclusion of extracutaneous involvement. No recurrence or systemic progression was observed during follow-up. The diagnosis of primary cutaneous RDD is very uncommon and hence is challenging for pathologist and dermatologist especially with features of IgG4-related disease. Careful systemic and microscopic examinations help in establishing the appropriate diagnosis.
Types de publication
Case Reports
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
372-375Informations de copyright
© 2022 The Australasian College of Dermatologists.
Références
Chen LYC, Slack GW, Carruthers MN. IgG4-related disease and Rosai-Dorfman-Destombes disease. The Lancet. 2021;398:1213-4.
Brenn T, Calonje E, Granter SR, Leonard N, Grayson W, Fletcher CDM, et al. Cutaneous rosai-dorfman disease is a distinct clinical entity. Am J Dermatopathol. 2002;24(5):385-91.
Fayne R, Rengifo SS, Gonzalez I, Solorzano JL, Gonzalez D, Vega F, et al. Primary cutaneous Rosai-Dorfman disease; a case-based review of a diagnostically and therapeutically challenging rare variant. Ann Diagn Pathol. 2020;45:151446.
Shenoy A, Mohandas N, Gottlieb A. Cutaneous and systemic IgG4-related disease: a review for dermatologists. Dermatol Online J. 2019;25(6):1-12.
Kuo T, Chen T-C, Lee L-Y, Lu P-H. IgG4-positive plasma cells in cutaneous Rosai-Dorfman disease: an additional immunohistochemical feature and possible relationship to IgG4-related sclerosing disease. J Cutan Pathol. 2009;36(10):1069-73.
Zhang Y, Chen H, Jiang YQ, Xu XL, Zhang W, Zeng XS, Sun JF. Clinicopathological features of cutaneous Rosai-Dorfman disease and its relationship to IgG4-related disease: a retrospective study. Br J Dermatol oct 2019;181(4):844-5.
Brenner I, Roth S, Puppe B, Wobser M, Rosenwald A, Geissinger E. Primary cutaneous marginal zone lymphomas with plasmacytic differentiation show frequent IgG4 expression. Mod Pathol déc. 2013;26(12):1568-76.