A case of rosai-dorfman disease in a pediatric patient with cardiac involvement

Leonard Yontz, Arie Franco, Suash Sharma, Kristopher Lewis, Colleen McDonough

Research output: Contribution to journalArticlepeer-review

10 Scopus citations

Abstract

Rosai-Dorfman disease (RDD) involves abnormal proliferations of oddly behaving histocytes that are not derived from the Langerhan's Cell linage. These collections tend to occur within lymph nodes, with occasional extra nodal presentation. While RDD is a rare entity itself, extra nodal cases are even more so, with even fewer reporting cardiac involvement, and previously only in adults. This report describes the disease in a pediatric patient who had the unique feature of an extra nodal cardiac mass. The patient, who was known to have sickle cell disease, was initially erroneously thought to have acute chest syndrome. Sudden changes in the patient's status, including development of 3rd degree heart block, demanded investigation with additional imaging. Chest CT revealed a mass arising from the cardiac interatrial septum and encircling the entire thoracic aorta. Imaging features of Rosai-Dorfman disease are nonspecific, complicating the diagnosis. We present this case with discussion of this extremely uncommon entity. We describe the diagnostic methods, the differential diagnosis, and the treatment options.

Original languageEnglish (US)
Pages (from-to)1-8
Number of pages8
JournalJournal of Radiology Case Reports
Volume6
Issue number1
DOIs
StatePublished - 2012

Keywords

  • Heart
  • Rosai-dorfman disease

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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