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.
Similar content being viewed by others
References
Chester W (1930) Über lipoidgranulomatose. Virchows Arch [A] 279: 561–602
Masshoff W (1949) Das gerhrin bei Lipoidgranulomatose, Beitr Pathol Anat 110: 544–566
Cavanagh JB, Russell DS (1954) Xanthomatosis with diabetes insipidus in adults: a report of two cases. J Pathol Bacteriol 68: 165–175
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
Resnick D, Greenway G, Genant H, Brower K, haghighi P, Emmett M (1982) Erdheim-Chester disease. Radiology 142: 289–295
Alper MG, Zimmermann LE, Lapiana FG (1983) Orbital manifestations of Erdheim-Chester disease. Trans Am Ophthalmol Soc 81: 64–85
Palmer FJ, Talley NJ (1984) Erdheim-Chester disease with bilateral exophthalmos and liver cell adenoma. Australas Radiol 28: 305–310
Freyschmidt J, Ostertag H, Lang W (1986) Case report 365. Skeletal Radiol 15: 316–322
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
Kujat C, Martin J, Puschel W (1991) Die Erdheim-Chester Krankheit. Radiologie 31: 297–306
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
Munk PL, Muller NL, Miller RR, Ostrow DN (1988) Pulmonary lymphangitic carcinomatosis: CT and pathologic findings. Radiology 166: 705–709
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
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
Muller NL, Miller RR, Webb WR, Evans KG, Ostrow DN (1986) Fibrosis alveolitis: pathologic-CT correlation. Radiology 160: 585–588
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
Author information
Authors and Affiliations
Additional information
Correspondence to: M. Remy-Jardin
Rights and permissions
About this article
Cite this article
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
Issue Date:
DOI: https://doi.org/10.1007/BF00167478