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无骨病变的 Erdheim-Chester 病的心脏和胸膜肺受累:一例报告

Cardiac and pleuropulmonary involvement in Erdheim-Chester disease without bone lesions: A case report.

作者信息

Kanza Rene Epunza, Houle Olivier, Simard Pierre-Luc, St-Gelais Jonathan, Raymond Catherine

机构信息

Department of Radiology, Chicoutimi Hospital, 305 Rue Saint-Vallier, Saguenay, QC G7H5H6, Canada.

Faculty of Medicine, University of Sherbrooke, Saguenay, QC, Canada.

出版信息

Radiol Case Rep. 2021 Dec 16;17(3):525-530. doi: 10.1016/j.radcr.2021.11.056. eCollection 2022 Mar.

DOI:10.1016/j.radcr.2021.11.056
PMID:34976258
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8688944/
Abstract

Erdheim-Chester disease is a rare multisystemic non-Langerhans histiocytosis characterized by histiocytes that stain positive for CD68 and negative for CD1a. Skeletal involvement is reported to be present in up to 96% cases and mutation in about half of the cases. Here, we report a patient with an unusual longstanding BRAF-negative Erdheim-Chester disease without bone lesions who developed pleuropulmonary and cardiac involvement.

摘要

厄尔德里姆-切斯特病是一种罕见的多系统非朗格汉斯组织细胞增多症,其特征为组织细胞CD68染色阳性而CD1a染色阴性。据报道,高达96%的病例存在骨骼受累,约一半的病例存在基因突变。在此,我们报告一例患有罕见的长期BRAF阴性厄尔德里姆-切斯特病的患者,该患者无骨病变,但出现了胸膜肺和心脏受累。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c9d/8688944/75c762fdb461/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c9d/8688944/c324ad8611d2/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c9d/8688944/06af5362dff9/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c9d/8688944/1b5a73c939b0/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c9d/8688944/2dac0003a0c7/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c9d/8688944/75c762fdb461/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c9d/8688944/c324ad8611d2/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c9d/8688944/06af5362dff9/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c9d/8688944/1b5a73c939b0/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c9d/8688944/2dac0003a0c7/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c9d/8688944/75c762fdb461/gr5.jpg

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本文引用的文献

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Cardiac Tamponade as the First Manifestation of Erdheim-Chester Disease.心脏压塞作为 Erdheim-Chester 病的首发表现
JACC CardioOncol. 2020 Jun 16;2(2):324-328. doi: 10.1016/j.jaccao.2020.03.004. eCollection 2020 Jun.
2
Three cases of BRAF mutation negative Erdheim-Chester disease with a challenging distinction from IgG4-related disease.三例BRAF突变阴性的 Erdheim-Chester 病,与IgG4相关性疾病的鉴别诊断具有挑战性。
Allergy Asthma Clin Immunol. 2021 Jan 6;17(1):6. doi: 10.1186/s13223-020-00505-2.
3
Retroperitoneal Erdheim-Chester disease without skeletal bone involvement mimicking uterine sarcoma with multiple organ involvement.
无骨骼受累的腹膜后厄氏病-切斯特病,表现为类似子宫肉瘤伴多器官受累。
Obstet Gynecol Sci. 2020 Jul;63(4):534-537. doi: 10.5468/ogs.19232. Epub 2020 Jun 22.
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Erdheim-Chester Disease: A Case Report and Review of the Literature.Erdheim-切斯特病:一例报告及文献综述
J Clin Imaging Sci. 2020 Jun 18;10:37. doi: 10.25259/JCIS_68_2020. eCollection 2020.
5
Erdheim-Chester disease: consensus recommendations for evaluation, diagnosis, and treatment in the molecular era.骨硬化性嗜酸性肉芽肿:分子时代下的评估、诊断和治疗的共识建议。
Blood. 2020 May 28;135(22):1929-1945. doi: 10.1182/blood.2019003507.
6
Erdheim-Chester disease progression from miliary pulmonary nodules to large tumours.Erdheim-Chester病从粟粒性肺结节发展为大肿瘤。
Respirol Case Rep. 2019 Aug 23;7(8):e00475. doi: 10.1002/rcr2.475. eCollection 2019 Nov.
7
Cardiac Involvement in Erdheim-Chester Disease.埃尔迪希姆-切斯特病的心脏受累情况
Circ Cardiovasc Imaging. 2018 Dec;11(12):e008531. doi: 10.1161/CIRCIMAGING.118.008531.
8
Erdheim-Chester Disease with No Skeletal Bone Involvement and Massive Weight Loss.无骨骼受累及显著体重减轻的 Erdheim-Chester 病
Case Rep Hematol. 2017;2017:3862052. doi: 10.1155/2017/3862052. Epub 2017 Oct 30.
9
F-FDG PET/CT in Erdheim-Chester Disease: Imaging Findings and Potential BRAF Mutation Biomarker.FDG PET/CT 在 Erdheim-Chester 病中的应用:影像学表现与潜在 BRAF 基因突变生物标志物。
J Nucl Med. 2018 May;59(5):774-779. doi: 10.2967/jnumed.117.200741. Epub 2017 Nov 2.
10
CNS Erdheim-Chester Disease: A Challenge to Diagnose.中枢神经系统厄尔海姆-切斯特病:诊断难题
J Neuropathol Exp Neurol. 2017 Dec 1;76(12):986-996. doi: 10.1093/jnen/nlx095.