Rare Cutaneous Manifestations of Erdheim Chester Disease: A Case Report and Literature Review.

braf mutation cd68+ diagnosis of rare cases erdheim chester disease non-langerhans cell histiocytosis pilomatrixoma rare skin disease skin nodule

Journal

Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737

Informations de publication

Date de publication:
Jun 2023
Historique:
accepted: 20 06 2023
medline: 24 7 2023
pubmed: 24 7 2023
entrez: 24 7 2023
Statut: epublish

Résumé

Erdheim Chester disease (ECD) is a rare and complex non-Langerhans histiocytic systemic disease that affects multiple organ systems, including the bones, heart, lungs, and central nervous system. Fewer than 1,000 cases have been reported in the medical literature and dermatological manifestations of the disease are rare but can provide valuable diagnostic clues for this challenging disease. The cutaneous manifestations of ECD can take many forms, including nodules, plaques, papules, and xanthomas. These lesions can occur on any part of the body and may be solitary or multiple. Cutaneous manifestations of ECD have been reported to occur in up to 20% of cases, but the true prevalence may be higher, as many cases may go undiagnosed. We present the case of a 62-year-old gentleman with a history of ECD currently on vemurafenib who presented with multiple painless subcutaneous nodules on his back after an excision biopsy under local anesthetic revealed histological features of ECD. The objective of this case report is to raise awareness of ECD and its dermatological manifestations. Further research is warranted to better understand the pathogenesis and morphology of cutaneous involvement in ECD.

Identifiants

pubmed: 37485173
doi: 10.7759/cureus.40712
pmc: PMC10359755
doi:

Types de publication

Case Reports

Langues

eng

Pagination

e40712

Informations de copyright

Copyright © 2023, Vasandani et al.

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

Références

Haematologica. 2018 Nov;103(11):1815-1824
pubmed: 29976744
Ann Rheum Dis. 2013 Oct;72(10):1691-5
pubmed: 23396641
J Clin Imaging Sci. 2020 Jun 18;10:37
pubmed: 32637228
BMC Neurol. 2021 Feb 18;21(1):81
pubmed: 33602153
Blood. 2017 Jul 13;130(2):167-175
pubmed: 28512190
Medicine (Baltimore). 2016 Oct;95(42):e5167
pubmed: 27759649
J Am Acad Dermatol. 2016 Mar;74(3):513-20
pubmed: 26785805
Blood Adv. 2017 Feb 14;1(6):357-366
pubmed: 28553668
Eur J Case Rep Intern Med. 2020 Jun 30;7(9):001630
pubmed: 32908822
Blood. 2014 Jul 24;124(4):483-92
pubmed: 24850756
Blood. 2011 Mar 10;117(10):2778-82
pubmed: 21239701
Br J Dermatol. 2020 Feb;182(2):405-409
pubmed: 31120137
Ann Dermatol. 2010 Nov;22(4):439-43
pubmed: 21165216
Br J Dermatol. 2018 Jan;178(1):261-264
pubmed: 28078666
Curr Opin Rheumatol. 2012 Jan;24(1):53-9
pubmed: 22089098
Blood. 2010 Sep 16;116(11):1919-23
pubmed: 20519626

Auteurs

Nikhil Vasandani (N)

Department of Plastic and Reconstructive Surgery, University Hospital Galway, Galway, IRL.

Jing Er Low (JE)

Department of Plastic and Reconstructive Surgery, University Hospital Galway, Galway, IRL.

Yun Hui Liau (YH)

Department of General Surgery, University Hospital Galway, Galway, IRL.

Alexander Ergun (A)

Department of Plastic and Reconstructive Surgery, University Hospital Galway, Galway, IRL.

Theogren Balakrishnan (T)

Department of Plastic and Reconstructive Surgery, University Hospital Galway, Galway, IRL.

Classifications MeSH