Ann Dermatol.  2017 Apr;29(2):237-238. 10.5021/ad.2017.29.2.237.

Intralymphatic Histiocytosis with Massive Interstitial Granulomatous Foci in a Patient with Rheumatoid Arthritis

Affiliations
  • 1Department of Dermatology, Nippon Medical School, Tokyo, Japan. h-saeki@nms.ac.jp
  • 2Department of Orthopaedic Surgery, Nippon Medical School, Tokyo, Japan.

Abstract

No abstract available.


MeSH Terms

Arthritis, Rheumatoid*
Histiocytosis*
Humans

Figure

  • Fig. 1 (A) Slightly tender erythematous nodules on the right knee which was slightly swollen. (B) The skin biopsy showed several irregularly dilated vessels which contained numerous mononuclear cells and interstitial histiocytic infiltrates in the upper dermis (H&E, ×40). (C) A dilated vessel which contained mononuclear cells (H&E, ×200). (D) Mononuclear cells stained positively for CD68 (anti CD68, ×200). (E) Endothelial cells lining the vessels were positive for D2-40 (anti D2-40, ×200). (F) A dense interstitial histiocytic infiltrate admixed with a few interspersed neutrophils which surrounded the degenerative collagen bundles (H&E, ×200).


Reference

1. Nakajima T, Kawabata D, Nakabo S, Miyagawa-Hayashino A, Yukawa N, Yoshifuji H, et al. Successful treatment with tocilizumab in a case of intralymphatic histiocytosis associated with rheumatoid arthritis. Intern Med. 2014; 53:2255–2258.
Article
2. Zoli A, Massi G, Pinnelli M, Lo Cuccio CD, Castri F, Ferraccioli G. Interstitial granulomatous dermatitis in rheumatoid arthritis responsive to etanercept. Clin Rheumatol. 2010; 29:99–101.
Article
3. Requena L, El-Shabrawi-Caelen L, Walsh SN, Segura S, Ziemer M, Hurt MA, et al. Intralymphatic histiocytosis. A clinicopathologic study of 16 cases. Am J Dermatopathol. 2009; 31:140–151.
Article
4. Peroni A, Colato C, Schena D, Gisondi P, Girolomoni G. Interstitial granulomatous dermatitis: a distinct entity with characteristic histological and clinical pattern. Br J Dermatol. 2012; 166:775–783.
Article
5. Sakaguchi M, Nagai H, Tsuji G, Morinobu A, Kumagai S, Nishigori C. Effectiveness of infliximab for intralymphatic histiocytosis with rheumatoid arthritis. Arch Dermatol. 2011; 147:131–133.
Article
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