Does the BRAFV600E mutation herald a new treatment era for Erdheim-Chester disease? A case-based review of a rare and difficult to diagnose disorder

被引:4
作者
Bosco, J. [1 ]
Allende, A. [2 ]
Varikatt, W. [2 ]
Lee, R. [3 ]
Stewart, G. J. [1 ,4 ]
机构
[1] Westmead Hosp, Dept Clin Immunol & Allergy, Sydney, NSW, Australia
[2] Westmead Hosp, Dept Tissue Pathol & Diagnost Oncol, Sydney, NSW, Australia
[3] Westmead Hosp, Dept Radiol, Sydney, NSW, Australia
[4] Univ Sydney, Sydney, NSW 2006, Australia
关键词
Erdheim-Chester disease; non-Langerhans-cell histiocytosis; retroperitoneal fibrosis; BRAF(V600E); INVOLVEMENT; MELANOMA;
D O I
10.1111/imj.12685
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Erdheim-Chester disease is a multi-system histiocyte disorder characterised by histological xanthogranulomatous inflammation. We report a 67-year-old man who had fatal multi-systemic Erdheim-Chester disease involvement, including retroperitoneal fibrosis, dilated cardiomyopathy and bone pain that was diagnosed late in its course and was refractory to interferon-alfa. A pathogenic BRAF(V600E) mutation, identified after death in this patient, provides insights into pathogenesis and opens potential lines of treatment.
引用
收藏
页码:348 / 351
页数:4
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