Erdheim-Chester Disease presenting with constrictive pericarditis: A case report and review of the literature

Bibliographic Details
Title: Erdheim-Chester Disease presenting with constrictive pericarditis: A case report and review of the literature
Authors: Ge Guo, MD, Danfeng Zheng, MD, Xiaohua Wang, MD, Xinyu Wang, MD
Source: Radiology Case Reports, Vol 19, Iss 7, Pp 2590-2595 (2024)
Publisher Information: Elsevier, 2024.
Publication Year: 2024
Collection: LCC:Medical physics. Medical radiology. Nuclear medicine
Subject Terms: Erdheim-Chester Disease, Constrictive pericarditis, Histiocytosis, Multisystemic involvement, Imaging modalities, Interferon-α2b, Medical physics. Medical radiology. Nuclear medicine, R895-920
More Details: Erdheim-Chester Disease (ECD) is a rare form of histiocytosis characterized by xanthomatous infiltration of affected organs. We present a case of a 62-year-old man with ECD initially presenting with constrictive pericarditis. Comprehensive imaging revealed systemic involvement, including the skeleton, orbit, pituitary, lung, kidney, and retroperitoneum, despite the absence of related symptoms. The diagnosis of ECD was eventually confirmed through histopathological evidence from a CT-guided biopsy. The patient responded well to interferon-α2b treatment, with gradual symptom amelioration and improvement in imaging and laboratory findings over a 5-month follow-up period. This case highlights the importance of considering ECD in the differential diagnosis of constrictive pericarditis and the utility of multimodal imaging for accurate diagnosis and management of this rare disease. The patient's positive response to treatment also highlights the potential for effective management of ECD, particularly with early diagnosis and intervention.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 1930-0433
Relation: http://www.sciencedirect.com/science/article/pii/S1930043324001845; https://doaj.org/toc/1930-0433
DOI: 10.1016/j.radcr.2024.02.087
Access URL: https://doaj.org/article/0c4724d67b724a339b841fd28db710fa
Accession Number: edsdoj.0c4724d67b724a339b841fd28db710fa
Database: Directory of Open Access Journals
More Details
ISSN:19300433
DOI:10.1016/j.radcr.2024.02.087
Published in:Radiology Case Reports
Language:English