Park Bong-Hee, Son Da Hye, Kim Myung-Hwan, Shim Tae Sun, Lee Hee Jin, Huh Jooryung
Department of Pathology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Korean J Pathol. 2012 Dec;46(6):583-6. doi: 10.4132/KoreanJPathol.2012.46.6.583. Epub 2012 Dec 26.
We describe a rare case of sinus histiocytosis with massive lymphadenopathy (Rosai-Dorfman disease) associated with a six-year history of autoimmune pancreatitis, which was controlled by steroid treatment. The patient presented with multiple, cervical and thoracic lymphadenopathy and abnormal, nodular opacities in the lung. Histologically, Rosai-Dorfman disease with numerous IgG4-positive cells was identified in a subcutaneous lymph node in the patient's left forearm. The patient recovered uneventfully with steroid treatment.
我们描述了一例罕见的伴巨大淋巴结病的窦组织细胞增生症(罗萨伊-多夫曼病),该患者患有自身免疫性胰腺炎六年,通过类固醇治疗得到控制。患者表现为多发的颈部和胸部淋巴结病以及肺部异常的结节状混浊。组织学检查发现,患者左前臂皮下淋巴结存在伴有大量IgG4阳性细胞的罗萨伊-多夫曼病。患者经类固醇治疗后顺利康复。