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Fever of unknown origin as the first manifestation of Erdheim-Chester disease

Fever of unknown origin as the first manifestation of Erdheim-Chester disease
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摘要 Erdheim-Chester disease (ECD) is an uncommon non-Langerhans cell histiocytosis that affects multiple body systems and can present clinically in a myriad of ways. We report the case of a 29-year-old man presented with fever and diffuse bone pain. Physical examination showed bilateral and symmetrical long bone pain, especially the knees. Radiographs showed multiple mixed bone lesions with sclerotic and lytic areas of the femora, tibiae, and fibula. Biopsy of the tibial area displayed foamy lipid-laden histiocytes, confirming the diagnosis of ECD. Erdheim-Chester disease (ECD) is an uncommon non-Langerhans cell histiocytosis that affects multiple body systems and can present clinically in a myriad of ways. We report the case of a 29-year-old man presented with fever and diffuse bone pain. Physical examination showed bilateral and symmetrical long bone pain, especially the knees. Radiographs showed multiple mixed bone lesions with sclerotic and lytic areas of the femora, tibiae, and fibula. Biopsy of the tibial area displayed foamy lipid-laden histiocytes, confirming the diagnosis of ECD.
出处 《Case Reports in Clinical Medicine》 2013年第6期351-357,共7页 临床医学病理报告(英文)
关键词 Erdheim-Chester DISEASE HISTIOCYTOSIS OSTEOARTHROPATHY Erdheim-Chester Disease Histiocytosis Osteoarthropathy
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