Rosai Dorfman disease: Difference between revisions
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===Physical Examination=== | ===Physical Examination=== | ||
====Head==== | ====Head==== | ||
* Massive cervical lymph node enlargement | * Massive cervical [[lymph node enlargement]] | ||
====Ear==== | ====Ear==== | ||
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===Laboratory Findings=== | ===Laboratory Findings=== | ||
* [[Leukocytosis]] | * [[Leukocytosis]] | ||
* | * [[Elevated erythrocyte sedimentation rate]] ([[ESR]]) | ||
* [[Polyclonal hypergammaglobulinemia]] | * [[Polyclonal hypergammaglobulinemia]] | ||
==References== | ==References== | ||
Revision as of 19:50, 31 July 2012
| Rosai-Dorfman disease | |
| Classification and external resources | |
| ICD-10 | D76.3 (ILDS D76.360) |
|---|---|
| DiseasesDB | 31419 |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Raviteja Guddeti, M.B.B.S. [2]
Synonyms and keywords: Sinus histiocytosis with massive lymphadenopathy, SHML, Destombes-Rosai-Dorfman syndrome, familial Rosai–Dorfman disease, familial SHML, sinus histiocytosis
Overview
Rosai–Dorfman disease is a rare disorder of unknown etiology that is characterized by abundant histiocytes in the lymph nodes throughout the body.[1]:747
Historical Perspective
This condition has been named after Ronald F. Dorfman and Juan Rosai. The alternative eponym of this condition is known as Destombes-Rosai-Dorfman syndrome, part of which is named after Pierre-Paul Louis Lucien Destombes.
Pathophysiology
Lymphadenopathy of the neck is the most common place of histiocyte accumulation, although accumulation outside of lymph nodes may occur, as well. The most common sites of accumulation outside of the lymph nodes are skin, upper respiratory tract, and the sinuses.[2][3] In approximately 25% of the situations salivary glands, spleen, liver and eyelids can be involved in the disease process.
Genetics
Rosai–Dorfman disease is inherited in an autosomal recessive pattern.
Microscopic Pathology
Differentiating from other diseases
The histological features of Rosai-Dorfman disease (RDD) resemble those of Faisalabad histiocytosis. Faisalabad histiocytosis can be differentiated from RDD by the presence of joint problems, sensorineural hearing loss and rubbery swellings over the eyelids.
Epidemiology and Demographics
- The incidence of this disease is <10/100 000.
- It is a disease of the childhood.
Natural History, Complications and Prognosis
The symptoms of this disease vary with the site of accumulation similar to other regional tumors. For instance, accumulation in closed spaces such as the cranium can lead to poor outcomes compared to growth in the dermis of an extremity where surgical excision is possible.
Diagnosis
Symptoms
Physical Examination
Head
- Massive cervical lymph node enlargement
Ear
- Sensorineural hearing loss may be present in some patients.
Abdomen
Laboratory Findings
References
- ↑ James, William D.; Berger, Timothy G.; et al. (2006). Andrews' Diseases of the Skin: clinical Dermatology. Saunders Elsevier. ISBN 0-7216-2921-0.
- ↑ Foucar E, Rosai J, Dorfman R (1990). "Sinus histiocytosis with massive lymphadenopathy (Rosai-Dorfman disease): review of the entity". Semin Diagn Pathol. 7 (1): 19–73. PMID 2180012.
|access-date=requires|url=(help) - ↑ Walid MS, Grigorian AA (2010). "Ethmo-spheno-intracranial Rosai-Dorfman disease". Indian J Cancer. 47 (1): 80–81. doi:10.4103/0019-509X.58870. PMID 20071801.