Breast involvement in mixed connective tissue disease

To date, mammographic involvement in mixed connective tissue disease has not been described in the literature to the authors’ knowledge. In addition, only 2 case reports have described panniculitis in mixed connective tissue disease. We present a patient with mixed connective tissue disease with coa...

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Main Authors: Ross Varma, MD, Sandor Szilagyi, MD, Manju Harshan, MD
Format: Article
Language:English
Published: Elsevier 2019-04-01
Series:Radiology Case Reports
Online Access:http://www.sciencedirect.com/science/article/pii/S193004331730465X
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author Ross Varma, MD
Sandor Szilagyi, MD
Manju Harshan, MD
author_facet Ross Varma, MD
Sandor Szilagyi, MD
Manju Harshan, MD
author_sort Ross Varma, MD
collection DOAJ
description To date, mammographic involvement in mixed connective tissue disease has not been described in the literature to the authors’ knowledge. In addition, only 2 case reports have described panniculitis in mixed connective tissue disease. We present a patient with mixed connective tissue disease with coarse sheet-like calcifications on mammography bilaterally, which increased over time corresponding to rise in levels of anti-dsDNA. Biopsy showed fat necrosis with calcifications, chronic inflammation and fibrosis, vasculitis, as well as CD3, CD4, and CD8+ T cells and CD20+ B cells. These findings are similar histologically and mammographically to “lupus mastitis.” Keywords: MCTD, Mixed connective tissue disease, Mastitis, Lupus mastitis, MCTD panniculitis, Mammography
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spelling doaj.art-61b4f1128cc84aaabe0972e791ab061e2022-12-21T18:01:51ZengElsevierRadiology Case Reports1930-04332019-04-01144430435Breast involvement in mixed connective tissue diseaseRoss Varma, MD0Sandor Szilagyi, MD1Manju Harshan, MD2Department of Radiology, Mount Sinai West, 1000 Tenth Avenue, NY 10019, New York, USA; Corresponding author.Department of Radiology, Mount Sinai Beth Israel, 10 Nathan D Perlman Pl, NY 10003, New York, USADepartment of Pathology, Mount Sinai Downtown Union Square. 10 Union Square East, NY 10003, New York, USATo date, mammographic involvement in mixed connective tissue disease has not been described in the literature to the authors’ knowledge. In addition, only 2 case reports have described panniculitis in mixed connective tissue disease. We present a patient with mixed connective tissue disease with coarse sheet-like calcifications on mammography bilaterally, which increased over time corresponding to rise in levels of anti-dsDNA. Biopsy showed fat necrosis with calcifications, chronic inflammation and fibrosis, vasculitis, as well as CD3, CD4, and CD8+ T cells and CD20+ B cells. These findings are similar histologically and mammographically to “lupus mastitis.” Keywords: MCTD, Mixed connective tissue disease, Mastitis, Lupus mastitis, MCTD panniculitis, Mammographyhttp://www.sciencedirect.com/science/article/pii/S193004331730465X
spellingShingle Ross Varma, MD
Sandor Szilagyi, MD
Manju Harshan, MD
Breast involvement in mixed connective tissue disease
Radiology Case Reports
title Breast involvement in mixed connective tissue disease
title_full Breast involvement in mixed connective tissue disease
title_fullStr Breast involvement in mixed connective tissue disease
title_full_unstemmed Breast involvement in mixed connective tissue disease
title_short Breast involvement in mixed connective tissue disease
title_sort breast involvement in mixed connective tissue disease
url http://www.sciencedirect.com/science/article/pii/S193004331730465X
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