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Erdheim-Chester disease (bones)

 
Erdheim-Chester disease is a very rare xanthogranulomatous, non-Langerhans cell systemic histiocytosis with an unknown etiology and pathogenesis.

Localization

-  symmetric osteosclerosis of the long bones
-  vertebral and axial skeleton
-  osteolytic lesions

Synopsis

-  diffuse macrophagic infiltration
-  large, foamy histiocytes
-  rare Touton-like giant cells
-  lymphocytic aggregates
-  fibrosis

Immunochemistry

-  CD68+
-  CD1a-
-  S100-

Ultrastructure

-  lack of Birbeck granules


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