 |
 |

Multiple Nodules and Plaques on the Face and TrunkDiagnosis
Arch Dermatol. 2006;142:1501-1506.
 |
 |
| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
|
 |
 |
Diagnosis: Cutaneous Rosai-Dorfman disease (RDD).
MICROSCOPIC FINDINGS AND CLINICAL COURSE
Both biopsy specimens demonstrated dense dermal infiltrates of histiocytes with abundant, focally foamy cytoplasm. The cytoplasm of some of the histiocytes contained lymphocytes, plasma cells, and neutrophils (emperipolesis). There was no significant histiocytic atypia. The histiocytes were surrounded by a patchy lymphocytic and plasma cell infiltrate. Immunohistochemical staining revealed that the histiocytes were positive for S100 protein and CD68 and negative for CD1a. Oral prednisone therapy was initiated at a dosage of 60 mg/d for 3 weeks and then tapered over the ensuing 3 weeks. After 6 weeks of treatment, the lesions had nearly resolved.
DISCUSSION
Rosai-Dorfman disease, which was first recognized as a distinct clinicopathologic entity in 1969, was formerly referred to as sinus histiocytosis with massive lymphadenopathy. It is characterized by a benign proliferative disorder of histiocytes1 and is most commonly confined to cervical or other lymph nodes. Although RDD occurs most commonly with nodal involvement alone, it . . . [Full Text of this Article]
CiteULike Connotea Del.icio.us Digg Reddit Technorati Twitter
What's this?
RELATED ARTICLE
Multiple Nodules and Plaques on the Face and TrunkQuiz Case
David G. Wartman, Ann Perry, and Andrew E. Werchniak
Arch Dermatol. 2006;142(11):1501-1506.
EXTRACT
| FULL TEXT
|