Immunopathological Analysis of Erdheim-Chester Disease with Massive Ascites

被引:5
作者
Ota, Muneo [1 ]
Sakamoto, Mayuko [1 ]
Sato, Kojiro [1 ]
Yoshida, Yoshihiro [1 ]
Asanuma, Yu Funakubo [1 ]
Akiyama, Yuji [1 ]
Yamakawa, Mitsunori [2 ]
Mimura, Toshihide [1 ]
机构
[1] Saitama Med Univ, Fac Med, Dept Rheumatol & Appl Immunol, Saitama, Japan
[2] Yamagata Univ, Fac Med, Dept Pathol Diagnost, Yamagata 990, Japan
关键词
Erdheim-Chester disease; histiocytosis; flow cytometry; interferon; INTERFERON-ALPHA; INVOLVEMENT;
D O I
10.2169/internalmedicine.51.8233
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We treated a 77-year-old woman with pleural and pericardial effusion and ascites. Initially, collagen vascular disease was suspected due to the presence of anti-centromere antibodies and suspected complication of pulmonary arterial hypertension. However, soft-tissue abnormalities surrounding the bilateral kidneys detected on computed tomography (CT) and symmetrical lesions of the long bones detected on bone scintigraphy made us consider a diagnosis of Erdheim-Chester disease (ECD), which is a rare form of histiocytosis. We immunochemically analyzed the cells derived from the ascites in detail and confirmed the diagnosis. Immunocytochemical analyses may therefore help to achieve a better understanding of the pathogenesis of this rare disease.
引用
收藏
页码:2825 / 2830
页数:6
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