A Case of Osteoarthropathy Due to Erdheim-Chester Disease with Overlapping Langerhans Cell Infiltration
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概要
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Histiocytosis sometimes involves the joints, and is one of the important differential diagnoses of osteoarthropathy. A 31-year-old man presented with recurrent fever and bilateral knee arthritis two years prior to admission. He also showed the hypopituitary mass lesion and partial hypopituitarism. X-ray studies showed both osteosclerotic and osteolytic lesions near the large joints. Histological findings of bone biopsy revealed foamy macrophage infiltration, which were CD68+CD1a-S100-, and Erdheim-Chester disease was diagnosed. In addition, CD68+CD1a+ Langerhans cells also aggregated in the same lesions, and we thought this case was a rare variant of Erdheim-Chester disease with overlapping histiocytic invasion.
著者
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SHODA Hirofumi
Department of Allergy and Rheumatology, Graduate School of Medicine, the University of Tokyo
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Oka Teruaki
Department Of Clinical Pathology Kanto Central Hospital
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Shoda Hirofumi
Department Of Allergy And Rheumatology Graduate School Of Medicine The University Of Tokyo
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Yamamoto Kazuhiko
Department Of Allergy And Rheumatology Graduate School Of Medicine The University Of Tokyo
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Okamoto Akiko
Department of Allergy and Rheumatology, Graduate School of Medicine, the University of Tokyo
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Naruse Hiroya
Department of Allergy and Rheumatology, Graduate School of Medicine, the University of Tokyo
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