Skip to main content

Abstract

Histiocytoses are rare, often systemic diseases hallmarked by tissue infiltration by abnormal histiocytes bearing peculiar morphological and immunohistochemical characteristics. They are classified based on cell type (e.g. Langerhans cell histiocytosis (LCH) and non-Langerhans forms such as Erdheim-Chester disease (ECD)), preferential organ involvement (e.g. cutaneous forms) and clinical aggressiveness (e.g. malignant histiocytoses). Some histiocytoses are clearly clonal disorders, often driven by somatic mutations of proto-oncogenes, whereas others can be reactive to or associated with systemic immune-mediated or infectious diseases. This chapter will mainly focus on primary systemic histiocytoses such as LCH and ECD and will discuss the role of infections in these complex diseases.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 109.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 139.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 199.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Abbreviations

CNS:

Central nervous system

CTLs:

Cytotoxic T cells

ECD:

Erdheim-Chester disease

HHV6:

Human herpesvirus 6

HIV:

Human immunodeficiency virus

HLH:

Haemophagocytic lymphohistiocytosis

IFN-y:

Interferon-y

IFNα:

Interferon-α

IL-12:

Interleukin-12

LCH:

Langerhans cell histiocytosis

MRI:

Magnetic resonance imaging

mTOR:

Mammalian target of rapamycin

NK:

Natural killer

PET:

Positron emission tomography

RDD:

Rosai-Dorfman disease

Th1:

T-helper 1

References

  1. Haroche J, Cohen-Aubart F, Rollins BJ, et al. Histiocytoses: emerging neoplasia behind inflammation. Lancet Oncol. 2017;18:e113–25.

    Article  PubMed  Google Scholar 

  2. Hervier B, Haroche J, Arnaud L, et al. Association of both Langerhans cell histiocytosis and Erdheim-Chester disease linked to the BRAF V600E mutation. Blood. 2014;124:1119–26.

    Article  CAS  PubMed  Google Scholar 

  3. Emile JF, Abla O, Fraitag S, et al. Revised classification of histiocytoses and neoplasms of the macrophage-dendritic cell lineages. Blood. 2016;127:2672–81.

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  4. Allen CE, Li L, Peters TL, et al. Cell-specific gene expression in Langerhans cell histiocytosis reveals a distinct profile compared with epidermal Langerhans cells. J Immunol. 2010;184:4557–67.

    Article  PubMed  CAS  Google Scholar 

  5. Berres ML, Lim KP, Peters T, et al. BRAF V600E expression in precursor versus differentiated dendritic cells defines clinically distinct LCH risk groups. J Exp Med. 2014;211:669–83.

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  6. Brown NA, Furtado LV, Betz BL, et al. High prevalence of somatic MAP 2K1 mutations in BRAF V600E negative Langerhans cell histiocytosis. Blood. 2014;124:1655–8.

    Article  CAS  PubMed  Google Scholar 

  7. Guyot-Goubin A, Donadieu J, Barkaoui M, et al. Descriptive epidemiology of childhood Langerhans cell histiocytosis in France, 2000-2004. Pediatr Blood Cancer. 2008;51:76–81.

    Article  Google Scholar 

  8. Héritier S, Emile JF, Barkaoui MA, et al. BRAF mutation correlates with high-risk Langerhans cell histiocytosis and increased resistance to first-line therapy. J Clin Oncol. 2016;34:3023–30.

    Article  PubMed  PubMed Central  Google Scholar 

  9. Donadieu J, Rolon MA, Thomas C, et al. Endocrine involvement in pediatric-onset Langerhans’ cell histiocytosis: a population-based study. J Pediatr. 2004;144:344–50.

    Article  PubMed  Google Scholar 

  10. Diamond E, Dagna L, Hyman DM, et al. Consensus guidelines for the diagnosis and clinical management of Erdheim-Chester disease. Blood. 2014;124:483–92.

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  11. Arnaud L, Gorochov G, Charlotte F, et al. Systemic perturbation of cytokine and chemokine network in Erdheim-Chester disease: a single center series of 37 patients. Blood. 2011;117:2783–90.

    Article  CAS  PubMed  Google Scholar 

  12. Diamond E, Durham BH, Haroche J, et al. Diverse and targetable kinase alterations drive histiocytic neoplasms. Cancer Discov. 2016;6:154–65.

    Article  CAS  PubMed  Google Scholar 

  13. Gianfreda D, Nicastro M, Galetti M, et al. Sirolimus plus prednisone for Erdheim-Chester disease: an open-label trial. Blood. 2015;126:1163–71.

    Article  CAS  PubMed  Google Scholar 

  14. Haroche J, Cohen-Aubart F, Emile JF, et al. Reproducible and sustained efficacy of targeted therapy with vemurafenib in patients with BRAF (V600E)-mutated Erdheim-Chester disease. J Clin Oncol. 2015;33:411–8.

    Article  CAS  PubMed  Google Scholar 

  15. Gianfreda D, Palumbo AA, Rossi E, et al. Cardiac involvement in Erdheim-Chester disease: an MRI study. Blood. 2016;128:2468–71.

    Article  CAS  PubMed  Google Scholar 

  16. Diamond EL, Hatzoglou V, Patel S, et al. Diffuse reduction of cerebral grey matter volumes in Erdheim-Chester disease. Orphanet J Rare Dis. 2016;11:109.

    Article  PubMed  PubMed Central  Google Scholar 

  17. Veyssier-Belot C, Cacoub P, Caparros-Lefebvre D, et al. Erdheim-Chester disease. Clinical and radiologic characteristics of 59 cases. Medicine (Baltimore). 1996;75:157–69.

    Article  CAS  Google Scholar 

  18. Hervier B, Arnaud L, Charlotte F, et al. Treatment of Erdheim-Chester disease with long-term high-dose interferon-α. Semin Arthritis Rheum. 2012;41:907–13.

    Article  CAS  PubMed  Google Scholar 

  19. Cohen-Aubart F, Maksud P, Saadoun D, et al. Variability in the efficacy of the interleukin-1 receptor inhibitor anakinra for treating Erdheim-Chester disease. Blood. 2016;127:1509–12.

    Article  CAS  PubMed  Google Scholar 

  20. Cohen-Aubart F, Emile JF, Maksud P, et al. Efficacy of the MEK inhibitor cobimetinib for wild-type BRAF Erdheim-Chester disease. Br J Haematol. 2016;180(1):150–3.

    Article  PubMed  Google Scholar 

  21. Rosai J, Dorfman RF. Sinus histiocytosis with massive lymphadenopathy. A newly recognized benign clinicopathological entity. Arch Pathol. 1969;87:63–70.

    CAS  PubMed  Google Scholar 

  22. Maric I, Pittaluga S, Dale JK, et al. Histologic features of sinus histiocytosis with massive lymphadenopathy in patients with autoimmune lymphoproliferative syndrome. Am J Surg Pathol. 2005;29:903–11.

    Article  PubMed  Google Scholar 

  23. Morgan NV, Morris MR, Cangul H, et al. Mutations in SLC29A3, encoding an equilibrative nucleoside transporter ENT3, cause a familial histiocytosis syndrome (Faisalabad histiocytosis) and familial Rosai-Dorfman disease. PLoS Genet. 2010;6:e1000833.

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  24. Dalia S, Sagatys E, Sokol L, et al. Rosai-Dorfman disease: tumor biology, clinical features, pathology and treatment. Cancer Control. 2014;21:322–7.

    Article  PubMed  Google Scholar 

  25. Komp DM, McNamara J, Buckley P. Elevated soluble interleukin-2 receptor in childhood hemophagocytic histiocytic syndromes. Blood. 1989;73:2128–32.

    CAS  PubMed  Google Scholar 

  26. Henter JI, Horne A, Aricò M, et al. HLH-2004: diagnostic and therapeutic guidelines for hemophagocytic lymphohistiocytosis. Pediatr Blood Cancer. 2007;48:124–31.

    Article  PubMed  Google Scholar 

  27. Parikh SA, Kapoor P, Letendre L, et al. Prognostic factors and outcomes of adults with hemophagocytic lymphohistiocytosis. Mayo Clin Proc. 2014;89:484–92.

    Article  PubMed  Google Scholar 

  28. Luppi M, Barozzi P, Garber R, et al. Expression of human herpesvirus-6 antigens in benign and malignant lymphoproliferative diseases. Am J Pathol. 1998;15:815–23.

    Article  Google Scholar 

  29. Mehraein Y, Wagner M, Remberger K, et al. Parvovirus B19 detected in Rosai-Dorfman disease in nodal and extranodal manifestations. J Clin Pathol. 2006;59:1320–6.

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  30. Ip YT, Loo KT, Ting SH, et al. Rosai–Dorfman disease-like changes in mesenteric lymph nodes secondary to Salmonella infection. Histopathology. 2011;58:792–807.

    Article  Google Scholar 

  31. Brito-Zerón P, Bosch X, Pérez-de-Lis M, et al. Infection is the major trigger of hemophagocytic syndrome in adult patients treated with biological therapies. Semin Arthritis Rheum. 2016;45:391–9.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Augusto Vaglio .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG, part of Springer Nature

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Vaglio, A., Rocco, R., Haroche, J., Emile, JF. (2018). Histiocytoses. In: Ragab, G., Atkinson, T., Stoll, M. (eds) The Microbiome in Rheumatic Diseases and Infection. Springer, Cham. https://doi.org/10.1007/978-3-319-79026-8_29

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-79026-8_29

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-79025-1

  • Online ISBN: 978-3-319-79026-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics