Journal of Nuclear Cardiology

, Volume 25, Issue 6, pp 1971–1975 | Cite as

Rosai–Dorfman disease and left ventricular noncompaction cardiomyopathy: A heart failure conundrum

  • Matthew Parke LaubhamEmail author
  • Amir Darki
Case Presentation Corner


The principles, Hickam’s dictum and Occam’s razor, have existed in counterbalance, guiding a physician’s diagnostic approach together for decades. Although Occam’s razor implores one to favor theories or hypotheses with the least amount of assumptions, there are often times a patient’s ailment may be better attributed to multiple co-existing problems. The latter was well understood by the late John Hickam, MD, who is credited to have famously stated: “A man can have as many diseases as he damn well pleases.” These two philosophical paradigms clashed; in this case, we present of a 19-year-old male who initially was seen for acute epigastric pain, quickly decompensated into cardiogenic shock, and was subsequently diagnosed with two extraordinarily rare diseases in Rosai–Dorfman disease (RDD) and left ventricular noncompaction cardiomyopathy (LVNC). While in the last decade the data regarding LVNC have flourished, there is still scant literature reporting RDD, especially...



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Availability of data and material

This case report did not have reportable results.


There are no financial or nonfinancial competing interests for this report.

Ethics approval

This was not a study using human participants, human data or tissue.

Informed consent

The individual’s data was not used in this case report.

Author contributions

MPL and AD have contributed towards the drafting of this report.


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Copyright information

© American Society of Nuclear Cardiology 2018

Authors and Affiliations

  1. 1.Department of CardiologyLoyola University Medical CenterMaywoodUSA
  2. 2.Department of Internal MedicineLoyola University Medical CenterMaywoodUSA

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