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Erdheim-Chester disease: a rare syndrome with a characteristic bone scintigraphy pattern

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Abstract

Erdheim-Chester disease is a rare noninherited, non-Langerhans’ cell histiocytosis, with multiorgan involvement. The skeleton is frequently involved in as many as 70–80% of all cases. In nearly half of the cases, there is an involvement of other organs such as the cardiovascular system, lung, kidneys, brain, and orbits. Extra-skeletal involvement is correlated with increased morbidity and mortality. In recent years, the disease is being described with increasing frequency although fewer than 200 cases have been identified worldwide. Besides its rarity, the disease has a characteristic almost pathognomonic bone scan appearance, which in some cases facilitates diagnosis of the syndrome. Bone scans also contribute to the qualitative assessment of skeletal involvement.

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References

  1. Chester W. Ũber lipoidgranulomatose. Virchows Arch A Pathol Anat Histopathol 1930:279:561–602.

    Google Scholar 

  2. Jaffe H. Tumors and tumorous conditions of the bone and joints. In: Lea F, editor. Tumors and tumorous conditions of the bone and joints. Philadelphia: Lea and Febiger; 1958. p. 139.

    Google Scholar 

  3. Jaffe H. Lipid Cholesterol granulomatosis. In: Lea F, editor. Metabolic, degenerative and inflammatory diseases of bone and joints. Philadelphia: Lea and Febiger; 1972, p. 535–541.

    Google Scholar 

  4. Bisceglia M, Cammisa M, Suster S, Colby TV. Erdheim-Chester disease: clinical and pathologic spectrum of four cases from the Arkadi M. Rywlin slide seminars. Adv Anat Pathol 2003;10:160–171.

    Article  PubMed  Google Scholar 

  5. Allen TC, Chevez-Barrios P, Shetlar DJ, Cagle PT. Pulmonary and ophthalmic involvement with Erdheim-Chester disease: a case report and review of the literature. Arch Pathol Lab Med 2004;128:1428–1431.

    PubMed  Google Scholar 

  6. Dion E, Graef C, Miquel A, Haroche J, Wechsler B, Amoura Z, et al. Bone involvement in Erdheim-Chester disease: imaging findings including periostitis and partial epiphyseal involvement. Radiology 2006;238:632–639.

    Article  PubMed  Google Scholar 

  7. Sheu SY, Wenzel RR, Kersting C, Merten R, Otterbach F, Schmid KW. Erdheim-Chester disease: case report with multisystem manifestations, including testes, and lymph nodes, and a review of literature. J Clin Pathol 2004;57:1225–1228.

    Article  PubMed  Google Scholar 

  8. Dion E, Graef C, Haroche J, Renard-Penna R, Cluzel P, Wechsler B, et al. Imaging of thoracoabdominal involvement in Erdheim-Chester disease. AJR 2004;183:1253–1260.

    PubMed  Google Scholar 

  9. Veyssier-Belot C, Cacoub P, Caparros-Lefebvre D, Wechsler J, Brun B, Remy M, et al. Erdheim-Chester disease: clinical and radiologic characteristics of 59 cases. Medicine 1996;75:157–168.

    Article  PubMed  CAS  Google Scholar 

  10. Egan AJ, Boardman LA, Tazelaar HD, Swensen SJ, Jett JR, Yousem SA, et al. Erdheim-Chester disease: clinical, radiologic, and histopathologic findings in five patients with interstitial lung disease. Am J Surg Pathol 1999;23:17–26.

    Article  PubMed  CAS  Google Scholar 

  11. Lyders EM, Kaushik S, Perez-Berenguer J, Henry DA. Aggressive and atypical manifestations of Erdheim-Chester disease. Clin Rheumatol 2003;22;464–466.

    Article  PubMed  Google Scholar 

  12. Haroche J, Amoura Z, Dion E, Wechsler B, Costedoat-Chalumeau N, Cacoub P, et al. Cardiovascular involvement, an overlooked feature of Erdheim-Chester disease: report of 6 new cases and a literature review. Medicine 2004;83:371–392.

    Article  PubMed  Google Scholar 

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Correspondence to Costas Giannakenas.

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Spyridonidis, T.J., Giannakenas, C., Barla, P. et al. Erdheim-Chester disease: a rare syndrome with a characteristic bone scintigraphy pattern. Ann Nucl Med 22, 323–326 (2008). https://doi.org/10.1007/s12149-007-0110-3

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  • DOI: https://doi.org/10.1007/s12149-007-0110-3

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