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Gaussem A, Dusser P, Huynh V, Galeotti C, Schvartz A, Jaume L, Rossi-Semerano L, Koné-Paut I, Borocco C. Atypical polyarticular juvenile idiopathic arthritis revealing multicentric reticulohistiocytosis with pulmonary involvement. Rheumatology (Oxford) 2022; 62:e122-e123. [PMID: 36063043 DOI: 10.1093/rheumatology/keac480] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2022] [Revised: 08/01/2022] [Accepted: 08/13/2022] [Indexed: 11/14/2022] Open
Affiliation(s)
- Anna Gaussem
- Paediatric Rheumatology, Bicêtre Hospital, APHP, Le Kremlin-Bicêtre, France
| | - Perrine Dusser
- Paediatric Rheumatology, Bicêtre Hospital, APHP, Le Kremlin-Bicêtre, France
| | - Van Huynh
- Paediatric Radiology, Bicêtre Hospital, APHP, Le Kremlin-Bicêtre, France
| | - Caroline Galeotti
- Paediatric Rheumatology, Bicêtre Hospital, APHP, Le Kremlin-Bicêtre, France
| | - Adrien Schvartz
- Paediatric Rheumatology, Bicêtre Hospital, APHP, Le Kremlin-Bicêtre, France.,University of Paris-Saclay, Paris, France
| | - Léa Jaume
- Paediatric Rheumatology, Bicêtre Hospital, APHP, Le Kremlin-Bicêtre, France
| | | | - Isabelle Koné-Paut
- Paediatric Rheumatology, Bicêtre Hospital, APHP, Le Kremlin-Bicêtre, France.,University of Paris-Saclay, Paris, France
| | - Charlotte Borocco
- Paediatric Rheumatology, Bicêtre Hospital, APHP, Le Kremlin-Bicêtre, France
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Xu XL, Liang XH, Liu J, Deng X, Zhang L, Wang ZG. Multicentric reticulohistiocytosis with prominent skin lesions and arthritis: A case report. World J Clin Cases 2022; 10:7913-7923. [PMID: 36158473 PMCID: PMC9372849 DOI: 10.12998/wjcc.v10.i22.7913] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/03/2021] [Revised: 12/14/2021] [Accepted: 06/17/2022] [Indexed: 02/06/2023] Open
Abstract
BACKGROUND Multicentric reticulohistiocytosis (MRH) is a rare non-Langerhans histiocytosis of unknown etiology characterized by papulonodular skin lesions and progressive, erosive arthritis. To date, there have been approximately 300 cases of MRH reported worldwide. The majority of patients are Caucasian from western countries, and Asian patients are rare. Here, we report a case of MRH in a Chinese patient.
CASE SUMMARY A 38-year-old male was admitted to the hospital with a rash that had persisted for over 2 years and bilateral knee pain for over 1 year. The patient’s symptoms had previously been misdiagnosed as eczema when there were only skin symptoms and was finally diagnosed as MRH after a skin biopsy of the left upper back. The patient was treated with glucocorticoids combined with an immunosuppressive regimen. While the skin lesions on both arms, abdomen, and back subsided, the skin lesions on the rest of the body did not increase. The interphalangeal joints of both thumbs and bilateral knee joints remained swollen and painful.
CONCLUSION The case will help clinicians better identify and treat this disease in the absence of epidemiological studies or randomized controlled data.
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Affiliation(s)
- Xiao-Li Xu
- Department of Geriatrics, The Third Affiliated Hospital of Soochow University, Changzhou 213003, Jiangsu Province, China
| | - Xiao-Hong Liang
- Department of Geriatrics, The Third Affiliated Hospital of Soochow University, Changzhou 213003, Jiangsu Province, China
| | - Juan Liu
- Jiangsu Engineering Research Center for Tumor Immunotherapy, The Third Affiliated Hospital of Soochow University, Changzhou 213003, Jiangsu Province, China
| | - Xu Deng
- Department of Pathology, The Third Affiliated Hospital of Soochow University, Changzhou 213003, Jiangsu Province, China
| | - Lu Zhang
- Department of Rheumatology and Immunology, The Third Affiliated Hospital of Soochow University, Changzhou 213003, Jiangsu Province, China
| | - Zhi-Gang Wang
- Department of Geriatrics, The Third Affiliated Hospital of Soochow University, Changzhou 213003, Jiangsu Province, China
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Generalized Progressive Papulonodular Skin Lesions in a 37-Year-Old Man: Answer. Am J Dermatopathol 2021; 42:1008-1009. [PMID: 33289982 DOI: 10.1097/dad.0000000000001609] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Singer SB, Thomas C, Lezcano C, Robbins M, Gordian A, Nori S, Granter SR, Merola JF, O'Malley JT. Polyarthralgias and Papulonodules in a 56-Year-Old Woman. Arthritis Care Res (Hoboken) 2018; 70:925-930. [PMID: 29342504 DOI: 10.1002/acr.23516] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2017] [Accepted: 01/09/2018] [Indexed: 11/07/2022]
Affiliation(s)
- Sean B Singer
- Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts
| | - Cristina Thomas
- Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts
| | - Cecilia Lezcano
- Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts
| | - Mark Robbins
- Harvard Vanguard Medical Associates/Atrius Health, Boston, Massachusetts
| | - Amparo Gordian
- Harvard Vanguard Medical Associates/Atrius Health, Boston, Massachusetts
| | - Sarita Nori
- Harvard Vanguard Medical Associates/Atrius Health, Boston, Massachusetts
| | - Scott R Granter
- Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts
| | - Joseph F Merola
- Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts
| | - John T O'Malley
- Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts
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Toz B, Büyükbabani N, İnanç M. Multicentric reticulohistiocytosis: Rheumatology perspective. Best Pract Res Clin Rheumatol 2016; 30:250-260. [DOI: 10.1016/j.berh.2016.07.002] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2016] [Accepted: 07/13/2016] [Indexed: 12/22/2022]
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Yoshimura K, Sato J, Imokawa S, Kageyama H, Tokura Y, Suda T. Organizing pneumonia associated with multicentric reticulohistiocytosis. Respirol Case Rep 2016; 3:125-7. [PMID: 26740877 PMCID: PMC4694604 DOI: 10.1002/rcr2.125] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2015] [Revised: 08/01/2015] [Accepted: 08/18/2015] [Indexed: 11/20/2022] Open
Abstract
Organizing pneumonia (OP) is a clinicopathological entity that occurs idiopathically or in association with several conditions such as connective tissue diseases. Multicentric reticulohistiocytosis (MRH) is a systemic disease characterized by polyarthritis and mucocutaneous lesions, but lung involvement is uncommon. We report a patient with MRH associated with OP. This case may be of interest when considering the pathophysiological mechanisms of both diseases.
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Affiliation(s)
| | - Jun Sato
- Department of Respiratory Medicine Iwata City Hospital Iwata Japan
| | - Shiro Imokawa
- Department of Respiratory Medicine Iwata City Hospital Iwata Japan
| | - Hazuki Kageyama
- Department of Respiratory Medicine Iwata City Hospital Iwata Japan
| | - Yoshiki Tokura
- Department of Respiratory Medicine Iwata City Hospital Iwata Japan
| | - Takafumi Suda
- Department of Respiratory Medicine Iwata City Hospital Iwata Japan
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Trotta F, Colina M. Multicentric reticulohistiocytosis and fibroblastic rheumatism. Best Pract Res Clin Rheumatol 2013; 26:543-57. [PMID: 23040366 DOI: 10.1016/j.berh.2012.07.006] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/16/2012] [Indexed: 12/22/2022]
Abstract
Multicentric reticulohistiocytosis (MRH) and fibroblastic rheumatism (FR) are uncommon disorders with similar joint and skin manifestations. They are usually included among the non-Langerhans histiocytoses, but recent insights drive some criticism. The diagnosis is often challenging and must be confirmed by the histological typical features. If the skin manifestations are missing, the arthritic complaints may be confused with those of other rheumatic disorders. In these cases, only a careful clinical and radiological evaluation leads to the correct diagnosis. The natural course of the diseases may rapidly develop into disabling manifestations, making an aggressive treatment strongly recommendable. There is emerging evidence that anti-tumour necrosis factor-α agents and bisphosphonates are promising drugs for MRH, while a course of methotrexate and steroids seems to be the best option for FR. Finally, the clinician should be aware that in many cases MRH, but not FR, is associated with a large number of systemic manifestations and with malignancy. This eventuality must be accurately ruled out.
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Affiliation(s)
- Francesco Trotta
- Section of Rheumatology, Department of Clinical and Experimental Medicine, University of Ferrara, Ferrara, Italy.
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Islam AD, Naguwa SM, Cheema GS, Hunter JC, Gershwin ME. Multicentric Reticulohistiocytosis: a Rare Yet Challenging Disease. Clin Rev Allergy Immunol 2013; 45:281-9. [DOI: 10.1007/s12016-013-8362-2] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
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Cartin-Ceba R, Pittelkow MR, Vassallo R. EARLY ONSET SEVERE EMPHYSEMA IN A SMOKER WITH MULTICENTRIC RETICULOHISTIOCYTOSIS. Chest 2009. [DOI: 10.1378/chest.136.4_meetingabstracts.1s-f] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022] Open
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Infiltration of Histiocytes and Multinucleated Giant Cells in the Myocardium of a Patient With Multicentric Reticulohistiocytosis. J Clin Rheumatol 2009; 15:25-6. [DOI: 10.1097/rhu.0b013e31817d1197] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Abstract
Many inflammatory, metabolic and infectious diseases affect the skin and joints. Most of these, such as rheumatoid arthritis and systemic lupus erythaematosus, are considered to be rheumatic conditions with secondary skin involvement. However, several primary cutaneous diseases are associated with arthritis and may even present with joint symptoms prior to cutaneous lesions. Common skin disorders, such as acne and psoriasis, have well-known musculoskeletal manifestations. Other less common conditions, such as dermatomyositis, multicentric reticulohistiocytosis, pyoderma gangrenosum, Sweet's syndrome and various cutaneous vasculitides, also have frequent joint involvement. This review will discuss the clinical presentation, both cutaneous and musculoskeletal, diagnosis and management of these disorders.
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Affiliation(s)
- Joshua Levin
- Department of Dermatology, University of Pennsylvania, PA 19104, USA
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Roth S, Campagni JP, Perrin C, Sanderson F, Castela J, Rosenthal E, Tieulié N, Jeandel PY, Heudier P, Fuzibet JG. Un cas de réticulohistiocytose multicentrique paranéoplasique associée à une maladie cœliaque. Rev Med Interne 2006; 27:263-5. [PMID: 16387394 DOI: 10.1016/j.revmed.2005.11.006] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2005] [Revised: 09/23/2005] [Accepted: 11/10/2005] [Indexed: 10/25/2022]
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