Immunopathological analysis of Erdheim-Chester disease with massive ascites.

Autor: Ota M; Department of Rheumatology and Applied Immunology, Faculty of Medicine, Saitama Medical University, Japan., Sakamoto M, Sato K, Yoshida Y, Funakubo Asanuma Y, Akiyama Y, Yamakawa M, Mimura T
Jazyk: angličtina
Zdroj: Internal medicine (Tokyo, Japan) [Intern Med] 2012; Vol. 51 (19), pp. 2825-30. Date of Electronic Publication: 2012 Oct 01.
DOI: 10.2169/internalmedicine.51.8233
Abstrakt: 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.
Databáze: MEDLINE