Two enlarged kidneys:: A manifestation of Erdheim-Chester disease

被引:23
作者
André, M
Delèvaux, I
de Fraissinette, B
Ponsonnaille, J
Chalret, NC
Wechsler, B
Piette, JC
Aumaître, O
机构
[1] Grp Hosp St Jacques, Serv Med Interne, Dept Internal Med, F-63003 Clermont Ferrand 1, France
[2] Grp Hosp St Jacques, Dept Radiol, F-63003 Clermont Ferrand, France
[3] Grp Hosp St Jacques, Dept Pathol, F-63003 Clermont Ferrand 1, France
[4] Grp Hosp St Jacques, Dept Cardiol, F-63003 Clermont Ferrand 1, France
[5] Hop La Pitie Salpetriere, Dept Internal Med, Paris, France
关键词
pericarditis; Erdheim-Chester disease; kidney; enlarged; histiocytosis; computed tomography;
D O I
10.1159/000046267
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Erdheim-Chester disease is a rare form of non-Langerhans' cell histiocytosis. This disorder is characterized by a bone involvement and several extraskeletal manifestations. We describe the case of a patient with a pleural and pericardial effusion leading to tamponade. Pathological examination of pericardium and mediastinal adenopathy was normal. The abdominal computed tomography scan showed two enlarged kidneys suggestive of Erdheim-Chester disease. Bone scan scintigraphy demonstrated symmetrical increased labeling of the long bones. The biopsy of perirenal soft tissue confirmed the diagnosis of Erdheim-Chester disease. Copyright (C) 2001 S. Karger AG, Basel.
引用
收藏
页码:315 / 317
页数:3
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