MAP2K1-driven mixed Langerhans cell histiocytosis, Rosai-Dorfman-Destombes disease and Erdheim-Chester disease, clonally related to acute myeloid leukemia

被引:5
|
作者
Bonometti, Arturo [1 ]
Ferrario, Giuseppina [2 ]
Parafioriti, Antonina [3 ]
Giardino, Demostene [4 ]
Simonetti, Federico [5 ]
Ginori, Alessandro [6 ]
Passoni, Emanuela [7 ]
Berti, Emilio [7 ,8 ]
机构
[1] Univ Pavia, Dept Mol Med, IRCCS San Matteo Fdn, Unit Anat Pathol, Pavia, Italy
[2] Univ Pavia, Dept Mol Med, IRCCS San Matteo Fdn, Pavia, Italy
[3] ASST PINI CTO Ctr Specialist Ortoped Traumatol Ga, Dept Pathol, Milan, Italy
[4] Casa Cura San Camillo, Surg Pathol Unit, Forte Dei Marmi, Italy
[5] Unico Versilia Hosp, Dept Hematol, Camaiore, Italy
[6] Azienda USL Toscana Nord Ovest, Pathol Unit, Polyspecialist Ctr Monterosso, Carrara, Italy
[7] Osped Maggiore Policlin, Dept Dermatol, Fdn IRCCS Ca Granda, Milan, Italy
[8] Univ Milan, Dept Pathophysiol & Transplantat, IRCCS Fdn, Ca Granda Osped Maggiore Policlin, Milan, Italy
关键词
Langerhans cell histiocytosis; Rosai‐ Dorfman‐ Destombes disease; Erdheim‐ Chester disease; clonal relation; acute myeloid leukemia; MUTATIONS; LYMPHOMA;
D O I
10.1111/cup.13918
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
Mixed histiocytoses are a rare and recently recognized subset of histiocytic disorders that may involve the skin, characterized by the synchronous or metachronous development of lesions with Langerhans and/or non-Langerhans cell histiocytosis histopathological features. Around 10% of patients diagnosed with histiocytosis may develop a hematological malignancy, often with dramatic prognostic consequences. We hereby describe the exceptional case of a patient developing a MAP2K1-driven mixed histiocytosis with Langerhans cell histiocytosis, Rosai-Dorfman-Destombes disease, and Erdheim-Chester disease features and cutaneous involvement, progressing to a fatal and clonally-related acute myeloid leukemia. We reviewed the literature on similar cases and discussed the histopathological difficulties in their diagnosis and their clinical-pathological features.
引用
收藏
页码:637 / 643
页数:7
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