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Wade B, Lame CA, Ndiaye Sow MN, Ndiaye A, Diédhiou F, Diakhaté M, Sarr ELHS, Seck SM, Faye AD, Gueye NN. [Pediatric orbital Rosai-Dorfman disease: An unusual case]. J Fr Ophtalmol 2024; 47:104070. [PMID: 38310692 DOI: 10.1016/j.jfo.2024.104070] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2023] [Revised: 12/09/2023] [Accepted: 12/31/2023] [Indexed: 02/06/2024]
Abstract
INTRODUCTION Rosai-Dorfman disease (RDD) is a sinus histiocytosis with massive lymphadenopathy. This rare condition is a benign disease of unknown etiology. Bilateral orbital localization of RDD is rare. OBSERVATION The authors report the case of a 6-year-old child who presented with bilateral orbital-palpebral masses associated with chronic cervical lymphadenopathy. There were no laboratory signs of inflammation. Serological and tuberculosis screening tests were negative. Histopathological examination of a lymph node biopsy established a diagnosis of Rosai-Dorfman disease. The patient underwent surgical excision of the orbital lesions followed by long-term corticosteroid therapy. A favorable course was observed, with no sign of recurrence after one year of follow-up. CONCLUSION Rosai-Dorfman disease is very rare in its bilateral orbital presentation. Histopathological diagnosis remains challenging. In Africa, the presence of chronic oculo-palpebral tumor associated with or without cervical lymphadenopathy must raise the suspicion of Rosai-Dorfman disease after ruling out tuberculosis and lymphoma.
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Affiliation(s)
- B Wade
- Service d'ophtalmologie, hôpital Principal de Dakar, avenue Nelson-Mandela, BP 3006, Dakar, Sénégal.
| | - C A Lame
- Service d'ORL, hôpital Principal de Dakar, Dakar, Sénégal
| | - M N Ndiaye Sow
- Service d'ophtalmologie, hôpital Principal de Dakar, avenue Nelson-Mandela, BP 3006, Dakar, Sénégal
| | - A Ndiaye
- Service d'ORL, hôpital Principal de Dakar, Dakar, Sénégal
| | - F Diédhiou
- Service d'ophtalmologie, hôpital Principal de Dakar, avenue Nelson-Mandela, BP 3006, Dakar, Sénégal
| | - M Diakhaté
- Service d'ophtalmologie, hôpital Principal de Dakar, avenue Nelson-Mandela, BP 3006, Dakar, Sénégal
| | - E L H S Sarr
- Service d'anatomie et cytologie pathologique, hôpital Principal de Dakar, Dakar, Sénégal
| | - S M Seck
- Service d'ophtalmologie, hôpital Principal de Dakar, avenue Nelson-Mandela, BP 3006, Dakar, Sénégal
| | - A D Faye
- Service de chirurgie maxillo-faciale, hôpital de Fann, Dakar, Sénégal
| | - N N Gueye
- Service d'ophtalmologie, hôpital Principal de Dakar, avenue Nelson-Mandela, BP 3006, Dakar, Sénégal
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Cohen Aubart F, Haroche J, Emile JF, Charlotte F, Barete S, Schleinitz N, Donadieu J, Amoura Z. [Rosai-Dorfman disease: Diagnosis and therapeutic challenges]. Rev Med Interne 2018; 39:635-640. [PMID: 29501513 DOI: 10.1016/j.revmed.2018.02.011] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2017] [Revised: 01/28/2018] [Accepted: 02/04/2018] [Indexed: 12/24/2022]
Abstract
Rosai-Dorfman disease (RDD) was first described by the French pathologist Paul Destombes in 1965. It frequently affects children or young adults and is characterized by the presence of large histiocytes with emperipolesis. More than 50 years after this first description, the pathogenesis of this rare disease is still poorly understood. The revised classification of histiocytoses published in 2016 identified various forms of RDD, from familial RDD to IgG4-associated RDD. Almost 90% of the patients with RDD have cervical lymph nodes involvement although all the organs may virtually be involved. Outcomes are typically favorable. Treatments may be necessary in case of compression or obstruction, and are not well codified. The main therapeutic strategies rely on surgery, radiotherapy, steroids, immunosuppressive drugs or interferon-alpha and cladribine.
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Affiliation(s)
- F Cohen Aubart
- Service de médecine interne 2, centre national de référence maladies systémiques rares et histiocytoses, institut e3M, hôpital de la Pitié-Salpêtrière, AP-HP, 75013 Paris, France; Université Paris-VI, Sorbonnes-Universités, 75013 Paris, France.
| | - J Haroche
- Service de médecine interne 2, centre national de référence maladies systémiques rares et histiocytoses, institut e3M, hôpital de la Pitié-Salpêtrière, AP-HP, 75013 Paris, France; Université Paris-VI, Sorbonnes-Universités, 75013 Paris, France
| | - J-F Emile
- Département d'anatomo-pathologie, EA4340, hôpital Ambroise-Paré, université de Versailles, AP-HP, 92104 Boulogne, France
| | - F Charlotte
- Université Paris-VI, Sorbonnes-Universités, 75013 Paris, France; Service d'anatomo-pathologie, hôpital de la Pitié-Salpêtrière, AP-HP, 75013 Paris, France
| | - S Barete
- UF de dermatologie, hôpital de la Pitié-Salpêtrière, AP-HP, 75013 Paris, France
| | - N Schleinitz
- Service de médecine interne, hôpital de la Timone et Aix-Marseille université, AP-HM, 13385 Marseille, France
| | - J Donadieu
- Service d'hématologie, hôpital Trousseau, AP-HP, 75012 Paris, France
| | - Z Amoura
- Service de médecine interne 2, centre national de référence maladies systémiques rares et histiocytoses, institut e3M, hôpital de la Pitié-Salpêtrière, AP-HP, 75013 Paris, France; Université Paris-VI, Sorbonnes-Universités, 75013 Paris, France
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