Facial cutaneous Rosai-Dorfman disease : a case report

© 2024. The Author(s)..

BACKGROUND: Rosai-Dorfman disease (RDD) is a form of non-Langerhans cell histiocytosis in which the activated histiocytes of the lymph nodes and other organs begin to accumulate following excessive production. Bilateral, massive, and painless lymphadenopathy are classic presentations. Systemic RDD is already known to be a rare condition, but isolated cutaneous RDD is extremely rare. We presented a rare and unusual presentations of a disease.

CASE PRESENTATION: A 35-year-old Thai female with a 6-month history of a small acne-like lesion that rapidly progressed to 5 cm tumor-like lesions on the face within 3 months. Tissue histology showed a dense dermal infiltration of histiocytes with emperipolesis phenomenon. Immunohistochemistry was positive for S100 protein and CD68 and negative for CD1a. Oral prednisolone (50 mg/day) was initiated with a favorable outcome at the one-month follow-up. However, prednisolone yielded a partial response at 2-month follow-up, leading to application of another modality.

CONCLUSION: Although cutaneous Rosai-Dorfman disease is considered benign and well medical responded disease, patients with atypical presentation and rapid growing lesion may necessitate aggressive multimodal treatment.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:18

Enthalten in:

Journal of medical case reports - 18(2024), 1 vom: 27. März, Seite 182

Sprache:

Englisch

Beteiligte Personen:

Wongrat, Tanapong [VerfasserIn]
Sangmala, Siripan [VerfasserIn]

Links:

Volltext

Themen:

9PHQ9Y1OLM
Case Reports
Case report
Cutaneous Rosai-Dorfman
Hematology
Histiocytosis
Journal Article
Prednisolone
Skin

Anmerkungen:

Date Completed 28.03.2024

Date Revised 29.03.2024

published: Electronic

Citation Status MEDLINE

doi:

10.1186/s13256-024-04410-9

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM370219899