Human pathology

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Rosai-Dorfman disease

sinus histiocytosis with massive lymphadenopathy
Ent. 1969.

Localization

- lymph node
- skin (12558621), hypodermis (1498408, 3401030)
- pleura (14652824)
- intracranial (14608579, 12637307), brain (12601463), meninges
- nasal region (12761707)
- breast (12760958, 9416494, 9199644)
- thyroid (12699598, 12683901)
- bone (12652340, 9653919, 9526780, 2013464)
- gastrointestinal tract (12562257 10746683, 17400399)
- eye (12479625), lacrymal gland
- kidneys (10587134, 10471758, 9072605, 1456886)
- pancreas (10370692, 11555773)
- salivary glands (9472588)
- liver (8771474)
- larynx

- mostly isolated
- rarely multicentric (12622452)

Synopsis

- large, pale, histiocytic cells (Rosai-Dorfman cells) exhibiting emperipolesis (cytophagocytosis)

Immunohistochemistry

- S-100+
- CD68+
- CD1a-

Electron microscopy

- Birbeck granules are absent

Associations

- acute lymphoblastic leukemia (11496358#)
- lymphoma (9031615, 9006752)
- follicular lymphoma (10786808)
- nodular lymphocyte predominant Hodgkin disease (10786808, 8522313)
- chronic autoimmune thyroiditis (10710276)
- inflammatory pseudotumor (9059366)
- systemic lupus erythematosus (11555773)

References