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Pulmonary involvement in Erdheim-Chester disease: high-resolution CT findings

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  • Chest Radiology
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Abstract

Erdheim-Chester disease is a distinctive pathological radiographic entity, most commonly characterised by a typical skeletal involvement resulting from histiocytic infiltration of the bone marrow. Although lung involvement is often absent, we report a case of diffuse infiltrative lung disease characterised by a wide-spread reticular pattern on high-resolution CT scans associated with cystic airspaces and mild honeycombing observed throughout both lungs. Interstitial infiltration with lipid-laden histiocytes was histologically confirmed by means of transbronchial biopsy.

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References

  1. Chester W (1930) Über lipoidgranulomatose. Virchows Arch [A] 279: 561–602

    Google Scholar 

  2. Masshoff W (1949) Das gerhrin bei Lipoidgranulomatose, Beitr Pathol Anat 110: 544–566

    Google Scholar 

  3. Cavanagh JB, Russell DS (1954) Xanthomatosis with diabetes insipidus in adults: a report of two cases. J Pathol Bacteriol 68: 165–175

    Google Scholar 

  4. Sorensen EW (1964) Hyperlipemia: a report of an unusual case complicated by bone lesions, macrocytic anemia and leukemoid bone marrow. Acta Med Scand 175: 207–214

    Google Scholar 

  5. Resnick D, Greenway G, Genant H, Brower K, haghighi P, Emmett M (1982) Erdheim-Chester disease. Radiology 142: 289–295

    Google Scholar 

  6. Alper MG, Zimmermann LE, Lapiana FG (1983) Orbital manifestations of Erdheim-Chester disease. Trans Am Ophthalmol Soc 81: 64–85

    Google Scholar 

  7. Palmer FJ, Talley NJ (1984) Erdheim-Chester disease with bilateral exophthalmos and liver cell adenoma. Australas Radiol 28: 305–310

    Google Scholar 

  8. Freyschmidt J, Ostertag H, Lang W (1986) Case report 365. Skeletal Radiol 15: 316–322

    Google Scholar 

  9. Fink MG, Levinson DJ, Brown NL, Sreekanth S, Sobel GW (1991) Erdheim-Chester disease: case report with autopsy findings. Arch Pathol Lab Med 115: 619–623

    Google Scholar 

  10. Kujat C, Martin J, Puschel W (1991) Die Erdheim-Chester Krankheit. Radiologie 31: 297–306

    Google Scholar 

  11. Remy-Jardin M, Deffontaines C, Dupont S, Gosselin B, Remy J (1990) Les malformations congénitales de la circulation lymphatique du thorax (lymphangiomes kystiques exceptés). Rev Im Med 2: 733–741

    Google Scholar 

  12. Munk PL, Muller NL, Miller RR, Ostrow DN (1988) Pulmonary lymphangitic carcinomatosis: CT and pathologic findings. Radiology 166: 705–709

    Google Scholar 

  13. Remy-Jardin M, Remy J, Giraud F, Wattinne L, Gosselin B (1993) Computed tomography (CT) assessment of ground glass opacity: semiology and significance. J Thorac Imaging 8

  14. Ren H, Hruban RH, Kuhlman JE, et al (1989) Computed tomography of inflation-fixed lungs: the beaded septum sign of pulmonary metastases. J Comput Assist Tomogr 13: 411–416

    Google Scholar 

  15. Muller NL, Miller RR, Webb WR, Evans KG, Ostrow DN (1986) Fibrosis alveolitis: pathologic-CT correlation. Radiology 160: 585–588

    Google Scholar 

  16. Miller RL, Sheeler LR, Bauer TW, Bukowski RM (1986) Erdheim-Chester disease: case report and review of the literature. Am J Med 80: 1230–1236

    Google Scholar 

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Correspondence to: M. Remy-Jardin

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Remy-Jardin, M., Remy, J., Gosselin, B. et al. Pulmonary involvement in Erdheim-Chester disease: high-resolution CT findings. Eur. Radiol. 3, 389–392 (1993). https://doi.org/10.1007/BF00167478

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