Uncommon presentation of Rosai-Dorfman disease: Nasal and nasopharyngeal involvement: A case report and discussion

This study presents a rare case of Rosai-Dorfman disease (RDD) with nasal and nasopharyngeal involvement, illustrating the complexities in diagnosing this enigmatic histiocytic disorder. RDD, characterized by massive, painless cervical lymphadenopathy, poses diagnostic challenges due to its diverse...

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Main Authors: Saubhagya Dhakal, MD, Shailendra Katwal, MD, Aastha Ghimire, MBBS, Amrit Bhusal, MBBS, Tek Nath Yogi, MBBS
Format: Article
Language:English
Published: Elsevier 2024-03-01
Series:Radiology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043323008786
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author Saubhagya Dhakal, MD
Shailendra Katwal, MD
Aastha Ghimire, MBBS
Amrit Bhusal, MBBS
Tek Nath Yogi, MBBS
author_facet Saubhagya Dhakal, MD
Shailendra Katwal, MD
Aastha Ghimire, MBBS
Amrit Bhusal, MBBS
Tek Nath Yogi, MBBS
author_sort Saubhagya Dhakal, MD
collection DOAJ
description This study presents a rare case of Rosai-Dorfman disease (RDD) with nasal and nasopharyngeal involvement, illustrating the complexities in diagnosing this enigmatic histiocytic disorder. RDD, characterized by massive, painless cervical lymphadenopathy, poses diagnostic challenges due to its diverse clinical presentations. In this case, a 38-year-old woman presented with a year-long history of neck swellings, nasal congestion, headaches, and sinusitis-like symptoms. Radiological imaging and histopathological examination revealed RDD involvement in the nasopharynx and paranasal sinuses. RDD diagnosis was confirmed through immunohistochemistry. The patient's unique symptoms emphasize the importance of considering RDD in the differential diagnosis of sinonasal masses with recurrent or unusual complaints. This case underscores the need for increased awareness, multidisciplinary management, and further research to enhance understanding and treatment of RDD, especially in extranodal presentations.
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spelling doaj.art-0270965d40264aaab201dfe1442827562024-01-11T04:30:56ZengElsevierRadiology Case Reports1930-04332024-03-01193956960Uncommon presentation of Rosai-Dorfman disease: Nasal and nasopharyngeal involvement: A case report and discussionSaubhagya Dhakal, MD0Shailendra Katwal, MD1Aastha Ghimire, MBBS2Amrit Bhusal, MBBS3Tek Nath Yogi, MBBS4Department of Radiology, National Academy of Medical Sciences, Kathmandu, NepalDepartment of Radiology, Dadeldhura Subregional Hospital, Dadeldhura, Nepal; Corresponding author.Department of Medicine, Patan Academy of Health Science, Kathmandu, NepalDepartment of Medicine, B.P Koirala Institute of Health Science, Sunsari, NepalDepartment of Medicine, B.P Koirala Institute of Health Science, Sunsari, NepalThis study presents a rare case of Rosai-Dorfman disease (RDD) with nasal and nasopharyngeal involvement, illustrating the complexities in diagnosing this enigmatic histiocytic disorder. RDD, characterized by massive, painless cervical lymphadenopathy, poses diagnostic challenges due to its diverse clinical presentations. In this case, a 38-year-old woman presented with a year-long history of neck swellings, nasal congestion, headaches, and sinusitis-like symptoms. Radiological imaging and histopathological examination revealed RDD involvement in the nasopharynx and paranasal sinuses. RDD diagnosis was confirmed through immunohistochemistry. The patient's unique symptoms emphasize the importance of considering RDD in the differential diagnosis of sinonasal masses with recurrent or unusual complaints. This case underscores the need for increased awareness, multidisciplinary management, and further research to enhance understanding and treatment of RDD, especially in extranodal presentations.http://www.sciencedirect.com/science/article/pii/S1930043323008786Rosai-Dorfman diseaseExtranodal presentationCase reportImmunohistochemistry
spellingShingle Saubhagya Dhakal, MD
Shailendra Katwal, MD
Aastha Ghimire, MBBS
Amrit Bhusal, MBBS
Tek Nath Yogi, MBBS
Uncommon presentation of Rosai-Dorfman disease: Nasal and nasopharyngeal involvement: A case report and discussion
Radiology Case Reports
Rosai-Dorfman disease
Extranodal presentation
Case report
Immunohistochemistry
title Uncommon presentation of Rosai-Dorfman disease: Nasal and nasopharyngeal involvement: A case report and discussion
title_full Uncommon presentation of Rosai-Dorfman disease: Nasal and nasopharyngeal involvement: A case report and discussion
title_fullStr Uncommon presentation of Rosai-Dorfman disease: Nasal and nasopharyngeal involvement: A case report and discussion
title_full_unstemmed Uncommon presentation of Rosai-Dorfman disease: Nasal and nasopharyngeal involvement: A case report and discussion
title_short Uncommon presentation of Rosai-Dorfman disease: Nasal and nasopharyngeal involvement: A case report and discussion
title_sort uncommon presentation of rosai dorfman disease nasal and nasopharyngeal involvement a case report and discussion
topic Rosai-Dorfman disease
Extranodal presentation
Case report
Immunohistochemistry
url http://www.sciencedirect.com/science/article/pii/S1930043323008786
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