Erdheim-Chester disease: First pediatric case report in Colombia

Luis Carlos Salazar, Luz Ángela Moreno , Lina Eugenia Jaramillo , Edgar Vladimir Cabrera , .

Keywords: Erdheim-Chester´s disease, hypophysitis, pediatrics, B-Raf proto-oncogene proteins, magnetic resonance imaging

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.

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  • Luis Carlos Salazar Departamento de Radiología e Imágenes Diagnósticas, Facultad de Medicina, Universidad Nacional de Colombia, Bogotá, D.C., Colombia https://orcid.org/0000-0003-4762-8228
  • Luz Ángela Moreno Departamento de Radiología e Imágenes Diagnósticas, Facultad de Medicina, Universidad Nacional de Colombia, Bogotá, D.C., Colombia; Unidad Funcional de Imágenes Diagnósticas, Fundación Hospital de La Misericordia, Bogotá, D.C., Colombia https://orcid.org/0000-0003-0559-842X
  • Lina Eugenia Jaramillo Departamento de Patología, Facultad de Medicina, Universidad Nacional de Colombia, Bogotá, D.C., Colombia; Laboratorio de Patología, Fundación Hospital de La Misericordia, Bogotá, D.C., Colombia https://orcid.org/0000-0002-8496-0687
  • Edgar Vladimir Cabrera Servicio de Oncohematología Pediátrica, Fundación Hospital de La Misericordia, Bogotá, D.C., Colombia https://orcid.org/0000-0001-9494-1263

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

How to Cite
1.
Salazar LC, Moreno L Ángela, Jaramillo LE, Cabrera EV. Erdheim-Chester disease: First pediatric case report in Colombia. biomedica [Internet]. 2021 Dec. 15 [cited 2024 May 16];41(4):615-24. Available from: https://revistabiomedica.org/index.php/biomedica/article/view/5651

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Published
2021-12-15
Section
Case presentation

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