Erdheim-Chester disease: First pediatric case report in Colombia
Abstract
The Erdheim-Chester’s disease is extremely rare in children. We present the case of a 12-year-old girl with histological and radiological diagnosis of this disease and mutation of the BRAF gene, who developed multisystemic compromise requiring treatment with dabrafenib.
We identified 22 reports of this condition among children worldwide and this is the second pediatric case in Latin America. Diagnostic imaging is critical to confirm Erdheim-Chester disease and for the surgical planning of the biopsy. Additionally, we identified the parasellar dark sign, which has previously been reported on lymphocytic hypophysitis.
This report contributes to the current practice as it shows the clinical presentation and the diagnostic workout of this disease in pediatrics.
Downloads
References
Emile JF, Abla O, Fraitag S, Horne A, Haroche J, Donadieu J, et al. Revised classification of histiocytoses and neoplasms of the macrophage-dendritic cell lineages. Blood. 2016;127:2672-81. https://doi.org/10.1182/blood-2016-01-690636
Chester W. Über lipoidgranulomatose. Virchows Arch Pathol Anat. 1930;279:561-602. https://doi.org/10.1007/BF01942684
The Writing Group of the Histiocyte Society. Histiocytosis syndromes in children. Lancet. 1987;329:208-9. https://doi.org/10.1016/S0140-6736(87)90016-X
Diamond EL, Dagna L, Hyman DM, Cavalli G, Janku F, Estrada-Veras J, et al. Consensus guidelines for the diagnosis and clinical management of Erdheim-Chester disease. Blood. 2014;124:483-92. https://doi.org/10.1182/blood-2014-03-561381
Rascón-Ramírez FJ, Avecillas-Chasín JM, Rodríguez-Boto G, Subhi-Issa I, Salazar OA, Sallabanda K. Enfermedad de Erdheim-Chester, una gran imitadora. Presentación de casos y revisión de la literatura. Neurocirugía. 2016;27:296-303.
Ozkaya N, Rosenblum MK, Durham BH, Pichardo JD, Abdel-Wahab O, Hameed MR, et al. The histopathology of Erdheim-Chester disease: A comprehensive review of a molecularly characterized cohort. Mod Pathol. 2018;31:581-97. https://doi.org/10.1038/modpathol.2017.160
Veyssier-Belot C, Cacoub P, Caparros-Lefebvre D, Wechsler J, Brun B, Remy M, et al. Erdheim-Chester disease. Clinical and radiologic characteristics of 59 cases. Medicine (Baltimore). 1996;75:157-69. https://doi.org/10.1097/00005792-199605000-00005
Mazor RD, Manevich-Mazor M, Shoenfeld Y. Erdheim-Chester disease: A comprehensive review of the literature. Orphanet J Rare Dis. 2013;8:137. https://doi.org/10.1186/1750-1172-8-137
Hao X, Feng R, Bi Y, Liu Y, Li C, Lu T, et al. Dramatic efficacy of dabrafenib in Erdheim-Chester disease (ECD): A pediatric patient with multiple large intracranial ECD lesions hidden by refractory Langerhans cell histiocytosis. J Neurosurg Pediatr. 2018;23:48-53. https://doi.org/10.3171/2018.6.PEDS17728
Nakata Y, Sato N, Masumoto T, Mori H, Akai H, Nobusawa H, et al. Parasellar T2 dark sign on MR imaging in patients with lymphocytic hypophysitis. AJNR Am J Neuroradiol. 2010;31:1944-50. https://doi.org/10.3174/ajnr.A2201
Quero-Hernández A, Echeverría R, Zárate A, Escárraga V, Garzón S, Reyes M, et al. Enfermedad de Erdheim-Chester en un niño con lisis ósea simétrica. Rev Mex Pediatr. 2014;81:222-5.
Su HH, Wu W, Guo Y, Chen HD, Shan SJ. Paediatric Erdheim-Chester disease with aggressive skin manifestations. Br J Dermatol. 2018;178:261-4. https://doi.org/10.1111/bjd.15306
Váradi Z, Bánusz R, Csomor J, Kállay K, Varga E, Kertész G, et al. Effective BRAF inhibitor vemurafenib therapy in a 2-year-old patient with sequentially diagnosed Langerhans cell histiocytosis and Erdheim-Chester disease. Onco Targets Ther. 2017;10:521-6. https://doi.org/10.2147/OTT.S121615
Vallonthaiel AG, Mridha AR, Gamanagatti S, Jana M, Sharma MC, Khan SA, et al. Unusual presentation of Erdheim-Chester disease in a child with acute lymphoblastic leukemia. World J Radiol. 2016;8:757-63. https://doi.org/10.4329/wjr.v8.i8.757
White TV, Silvester NC, Otero HJ. Non-sclerotic bone involvement in Erdheim-Chester: PET/CT and MRI findings in a 15-year-old boy. Pediatr Radiol. 2016;46:1345-9. https://doi.org/10.1007/s00247-016-3594-y
Kim S, Lee M, Shin HJ, Lee J, Suh Y. Coexistence of intracranial Langerhans cell histiocytosis and Erdheim-Chester disease in a pediatric patient: A case report. Child’s Nerv Syst. 2016;32:893-6. https://doi.org/10.1007/s00381-015-2929-6
Diamond EL, Abdel-Wahab O, Durham BH, Dogan A, Ozkaya N, Brody L, et al. Anakinra as efficacious therapy for 2 cases of intracranial Erdheim-Chester disease. Blood. 2016;128:1896-8. https://doi.org/10.1182/blood-2016-06-725143
Alimohamadi M, Hartmann C, Paterno V, Samii M. Erdheim-Chester disease mimicking an intracranial trigeminal schwannoma: Case report. J Neurosurg Pediatr. 2015;15:493-8. https://doi.org/10.3171/2014.10.PEDS14441
Krishna VV, James TE, Chang KT, Yen SS. Erdheim-Chester disease with rare radiological features in a 14-years old girl with pre-B acute lymphocytic leukemia and diabetes mellitus. J Radiol Case Rep. 2014;8:7-15. https://doi.org/10.3941/jrcr.v8i8.1899
Wen C, Liang Q, Yi Z, Wan W. Erdheim-Chester disease in a child. West Indian Medical J. 2012;61:834-7. https://doi.org/10.7727/wimj.2012.161
Song SY, Lee SW, Ryu K, Sung SH. Erdheim-Chester disease with multisystem involvement in a 4-year-old. Pediatr Radiol. 2012;42:632-5. https://doi.org/10.1007/s00247-011-2235-8
Wen C, Liang Q, Wan W. Erdheim-Chester disease in a child: Case report. Chinese J Pediatr. 2011;49:231-2. https://doi.org/10.3760/cma.j.issn.0578-1310.2011.03.017
Arnaud L, Pierre I, Beigelman-Aubry C, Capron F, Brun AL, Rigolet A, et al. Pulmonary involvement in Erdheim-Chester disease: A single-center study of thirty-four patients and a review of the literature. Arthritis Rheum. 2010;62:3504-12. https://doi.org/10.1002/art.27672
Tran TA, Pariente D, Guitton C, Delwail A, Barat-Houari M, Meinzer U. Treatment of Erdheim-Chester disease with canakinumab. Rheumatology. 2014;53:2312-4. https://doi.org/10.1093/rheumatology/keu344
Tran TA, Pariente D, Lecron JC, Delwail A, Taoufik Y, Meinzer U. Treatment of pediatric Erdheim-Chester disease with interleukin-1–targeting drugs. Arthritis Rheum. 2011;63:4031-2. https://doi.org/10.1002/art.30638
Tran TA, Fabre M, Pariente D, Craiu I, Haroche J, Charlotte F, et al. Erdheim-Chester disease in childhood: A challenging diagnosis and treatment. J Pediatr Hematol Oncol. 2009;31:782-6. https://doi.org/10.1097/MPH.0b013e3181b76827
Kumandaş S, Kurtsoy A, Canöz Ö, Patıroğlu T, Yikilmaz A, Per H. Erdheim-Chester disease: Cerebral involvement in childhood. Brain Dev. 2007;29:227-30. https://doi.org/10.1016/j.braindev.2006.08.013
Nagatsuka H, Han PP, Taguchi K, Tsujigiwa H, Gunduz M, Fukunaga J, et al. Erdheim-Chester disease in a child presenting with multiple jaw lesions. J Oral Pathol Med. 2005;34:420-2. https://doi.org/10.1111/j.1600-0714.2005.00320.x
Sohn MH, Kim MW, Kang YH, Jeong HJ. Tc-99m MDP bone and Ga-67 citrate scintigraphy of Erdheim-Chester disease in a child. Clin Nucl Med. 2006;31:90-2. https://doi.org/10.1097/01.rlu.0000196413.47370.c9
Joo CU, Go YS, Kim IH, Kim CS, Lee SY. Erdheim-Chester disease in a child with MR imaging showing regression of marrow changes. Skeletal Radiol. 2005;34:299-302. https://doi.org/10.1007/s00256-004-0846-y
Clerico A, Ragni G, Cappelli C, Schiavetti A, Gonfiantini M, Uccini S. Erdheim-Chester disease in a child. Med Pediatr Oncol. 2003;41:575-7. https://doi.org/10.1002/mpo.10402
Gómez L, Soto C, Criollo F, Messa Ó, Romo R, Patrón I. Enfermedad de Erdheim-Chester: fractura patológica de húmero izquierdo. Rev Colomb Cancerol. 2014;18:143-8. https://doi.org/10.1016/j.rcc.2014.05.002
Some similar items:
- Ángela M. Pedraza, Carlos E. Rodríguez-Martínez, Ranniery Acuña, Initial validation of a scale to measure the burden for parents/caregivers of children with asthma and factors associated with this burden in a population of asthmatic children , Biomedica: Vol. 33 No. 3 (2013)
- Marcela González, Claudia Patricia González, Alvaro Sanabria, Ultrasonographic estimation of the normal volume of the thyroid gland in pediatric populations. , Biomedica: Vol. 26 No. 1 (2006)
- Wilson Daza, Silvana Dadan, Michelle Higuera, Profile of gastrointestinal diseases in a pediatric gastroenterology center in Colombia: 15 years of follow-up , Biomedica: Vol. 37 No. 3 (2017)
- Luisa F. Imbachi, Lina M. Ibañez , Paula Hurtado-Villa, Health status and barriers in health care for children with birth defects born between 2011 and 2017 in two institutions in Cali , Biomedica: Vol. 40 No. 1 (2020)
- Freddy Israel Pantoja, Willinton Robert Ricaurte , Diana Elizabeth Rosero , Relationship between death and admission of pediatric patients to intensive care due to Staphylococcus aureus bacteremia acquired in the community, 2014-2017 , Biomedica: Vol. 41 No. 1 (2021)
- Yesica Llimpe, Cytogenetic risk groups for childhood acute myeloid leukemia based on survival analysis in a cancer referral hospital from Perú , Biomedica: Vol. 41 No. 2 (2021)
- Jorge Andrés Puerto, Susana Uribe , Víctor Calvo, Ricardo Cardona, Impact of the allergen-specific immunotherapy in pediatric patients with asthma treated at a health institution in Colombia , Biomedica: Vol. 41 No. 3 (2021)
- Miguel Ángel Medina, Wendy Meyer , Carolina Echeverri , Natalia Builes , Langerhans cell histiocytosis: Case report and literature review , Biomedica: Vol. 41 No. 3 (2021)
- Natalia Vélez-Tirado , Lina Castaño-Jaramillo , Sonia Restrepo-Gualteros , Catalina Alcalá-Lozano, Erika Ruge , Carolina Puente , Diana Li-Zeng , Diego Chaparro-Arce , María Camila Beltrán-Dimas , Juan Francisco López , Miguel Luengas-Monroy , Diego Galvis-Trujillo , Iván Gutiérrez-Tobar , Pablo Vásquez-Hoyos , Germán Camacho-Moreno , Severe adenovirus infection outbreak in Colombia: Experience from a tertiary pediatric hospital in 2022 , Biomedica: Vol. 44 No. 1 (2024)
- Rafael Adrián Pacheco-Orozco, Jessica María Forero-Delgadillo, Vanessa Ochoa, Juan Sebastián Toro, Harry Pachajoa, Jaime Manuel Restrepo, Genetic and radiological aspects of pediatric renal cystic disease: A case series , Biomedica: Vol. 44 No. Sp. 1 (2024): Enfermedades crónicas no transmisibles

Article metrics | |
---|---|
Abstract views | |
Galley vies | |
PDF Views | |
HTML views | |
Other views |