Multicentric reticulohistiocytosis: a rare cause of erosive arthropathy of the distal interphalangeal finger joints
Background: Multicentric reticulohistiocytosis (MRH) is a rare systemic disease, presenting with typical skin abnormalities and erosive polyarthritis, which is often associated with malignancy. Case report: A case of MRH arthropathy, in which the typical nodular skin manifestation of the disease was...
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Veröffentlicht in: | Annals of the rheumatic diseases 2002-06, Vol.61 (6), p.485-487 |
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description | Background: Multicentric reticulohistiocytosis (MRH) is a rare systemic disease, presenting with typical skin abnormalities and erosive polyarthritis, which is often associated with malignancy. Case report: A case of MRH arthropathy, in which the typical nodular skin manifestation of the disease was absent, is described in a patient with a past history of breast cancer and no evidence of recurrent or new malignancy. Results: Careful clinical and roentgenological evaluation disclosed important clues to differentiate this condition from other more common distal interphalangeal arthritides—namely, osteoarthritis and its “erosive” variant, rheumatoid arthritis, psoriatic arthritis, tophaceous gout, dialysis related hand arthropathy, and from the rarer fibroblastic rheumatism, all of which can be mimicked by MRH. Histopathology showed the characteristic histiocytic and multinucleated giant cell infiltrate with ground glass cytoplasm, and immunohistochemical analysis showed markers evocative of a monocyte/macrophage origin of MRH. |
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Case report: A case of MRH arthropathy, in which the typical nodular skin manifestation of the disease was absent, is described in a patient with a past history of breast cancer and no evidence of recurrent or new malignancy. Results: Careful clinical and roentgenological evaluation disclosed important clues to differentiate this condition from other more common distal interphalangeal arthritides—namely, osteoarthritis and its “erosive” variant, rheumatoid arthritis, psoriatic arthritis, tophaceous gout, dialysis related hand arthropathy, and from the rarer fibroblastic rheumatism, all of which can be mimicked by MRH. Histopathology showed the characteristic histiocytic and multinucleated giant cell infiltrate with ground glass cytoplasm, and immunohistochemical analysis showed markers evocative of a monocyte/macrophage origin of MRH.</description><identifier>ISSN: 0003-4967</identifier><identifier>EISSN: 1468-2060</identifier><identifier>DOI: 10.1136/ard.61.6.485</identifier><identifier>PMID: 12006317</identifier><identifier>CODEN: ARDIAO</identifier><language>eng</language><publisher>London: BMJ Publishing Group Ltd and European League Against Rheumatism</publisher><subject>Aged ; Arthritis - etiology ; Biological and medical sciences ; Breast cancer ; Breast Neoplasms - complications ; Cytoplasm ; Diabetes Mellitus, Type 1 - complications ; DIP ; Disease ; Diseases ; Diseases of the osteoarticular system ; distal interphalangeal ; distal interphalangeal finger joints ; erosive arthritis ; Female ; Finger Joint ; Fingers ; Hand ; Histiocytosis ; Histiocytosis, Non-Langerhans-Cell - complications ; Histiocytosis, Non-Langerhans-Cell - diagnosis ; Humans ; Inflammatory joint diseases ; Laboratories ; Lesson of the Month ; Medical sciences ; Metastasis ; MRH ; multicentric reticulohistiocytosis ; osteoarthritis ; PAS ; Patients ; periodic acid-Schiff ; Physiological aspects ; PsA ; psoriatic arthritis</subject><ispartof>Annals of the rheumatic diseases, 2002-06, Vol.61 (6), p.485-487</ispartof><rights>Copyright 2002 by Annals of the Rheumatic Diseases</rights><rights>2002 INIST-CNRS</rights><rights>COPYRIGHT 2002 BMJ Publishing Group Ltd.</rights><rights>Copyright: 2002 Copyright 2002 by Annals of the Rheumatic Diseases</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b583t-6e59619d18f1f8a49e4e1777b18ef19c8f31d8b97dc3f1f8b1528ce80a54e76e3</citedby><cites>FETCH-LOGICAL-b583t-6e59619d18f1f8a49e4e1777b18ef19c8f31d8b97dc3f1f8b1528ce80a54e76e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1754120/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1754120/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=13654522$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12006317$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Santilli, D</creatorcontrib><creatorcontrib>Lo Monaco, A</creatorcontrib><creatorcontrib>Cavazzini, P L</creatorcontrib><creatorcontrib>Trotta, F</creatorcontrib><title>Multicentric reticulohistiocytosis: a rare cause of erosive arthropathy of the distal interphalangeal finger joints</title><title>Annals of the rheumatic diseases</title><addtitle>Ann Rheum Dis</addtitle><description>Background: Multicentric reticulohistiocytosis (MRH) is a rare systemic disease, presenting with typical skin abnormalities and erosive polyarthritis, which is often associated with malignancy. Case report: A case of MRH arthropathy, in which the typical nodular skin manifestation of the disease was absent, is described in a patient with a past history of breast cancer and no evidence of recurrent or new malignancy. Results: Careful clinical and roentgenological evaluation disclosed important clues to differentiate this condition from other more common distal interphalangeal arthritides—namely, osteoarthritis and its “erosive” variant, rheumatoid arthritis, psoriatic arthritis, tophaceous gout, dialysis related hand arthropathy, and from the rarer fibroblastic rheumatism, all of which can be mimicked by MRH. Histopathology showed the characteristic histiocytic and multinucleated giant cell infiltrate with ground glass cytoplasm, and immunohistochemical analysis showed markers evocative of a monocyte/macrophage origin of MRH.</description><subject>Aged</subject><subject>Arthritis - etiology</subject><subject>Biological and medical sciences</subject><subject>Breast cancer</subject><subject>Breast Neoplasms - complications</subject><subject>Cytoplasm</subject><subject>Diabetes Mellitus, Type 1 - complications</subject><subject>DIP</subject><subject>Disease</subject><subject>Diseases</subject><subject>Diseases of the osteoarticular system</subject><subject>distal interphalangeal</subject><subject>distal interphalangeal finger joints</subject><subject>erosive arthritis</subject><subject>Female</subject><subject>Finger Joint</subject><subject>Fingers</subject><subject>Hand</subject><subject>Histiocytosis</subject><subject>Histiocytosis, Non-Langerhans-Cell - complications</subject><subject>Histiocytosis, Non-Langerhans-Cell - diagnosis</subject><subject>Humans</subject><subject>Inflammatory joint diseases</subject><subject>Laboratories</subject><subject>Lesson of the Month</subject><subject>Medical sciences</subject><subject>Metastasis</subject><subject>MRH</subject><subject>multicentric reticulohistiocytosis</subject><subject>osteoarthritis</subject><subject>PAS</subject><subject>Patients</subject><subject>periodic acid-Schiff</subject><subject>Physiological aspects</subject><subject>PsA</subject><subject>psoriatic arthritis</subject><issn>0003-4967</issn><issn>1468-2060</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp9kstv1DAQhyMEokvhxhlFQsCFLJ48bIcDUrXiqVJEVdqj5TiTjZdsvNhJxf73zLJRF1CFfLA98_k3D08UPQY2B8j4K-3rOYc5n-eyuBPNIOcySRlnd6MZYyxL8pKLo-hBCCu6MgnyfnQEKWM8AzGLwuexG6zBfvDWxB7pPHautWGwzmwHF2x4HevYa4-x0WPA2DUxerJfY6z90Hq30UO73ZmHFuOaXuoutv2AftPqTvdLpHtjaffxypEjPIzuNboL-Gjaj6Nv795eLD4kp1_ef1ycnCZVIbMh4ViUHMoaZAON1HmJOYIQogKJDZRGNhnUsipFbbIdUUGRSoOS6SJHwTE7jt7sdTdjtcb6d5G6Uxtv19pvldNW_e3pbauW7lqBKHJqEQk8nwS8-zFiGNTaBoMdVYVuDEoAFwIKTuDTf8CVG31PxaldxjLPRVoQ9XJPLXWHyvaNo6hmiT1ScNdjY8l8IgUD4GwnmtyC06pxbc1t_CRv6HuCx-amUmBqNyqKRkVxUFzRqBD-5M_uHOBpNgh4NgE6GN01XvfGhgOX8SIv0vSQJ309_rzxa_9dcZGJQp1dLtTV1dfz88uzC_WJ-Bd7vlqv_p_iL0xG5aU</recordid><startdate>20020601</startdate><enddate>20020601</enddate><creator>Santilli, D</creator><creator>Lo Monaco, A</creator><creator>Cavazzini, P L</creator><creator>Trotta, F</creator><general>BMJ Publishing Group Ltd and European League Against Rheumatism</general><general>BMJ</general><general>BMJ Publishing Group Ltd</general><general>Elsevier Limited</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9-</scope><scope>K9.</scope><scope>LK8</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>M7P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20020601</creationdate><title>Multicentric reticulohistiocytosis: a rare cause of erosive arthropathy of the distal interphalangeal finger joints</title><author>Santilli, D ; Lo Monaco, A ; Cavazzini, P L ; Trotta, F</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b583t-6e59619d18f1f8a49e4e1777b18ef19c8f31d8b97dc3f1f8b1528ce80a54e76e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Aged</topic><topic>Arthritis - etiology</topic><topic>Biological and medical sciences</topic><topic>Breast cancer</topic><topic>Breast Neoplasms - complications</topic><topic>Cytoplasm</topic><topic>Diabetes Mellitus, Type 1 - complications</topic><topic>DIP</topic><topic>Disease</topic><topic>Diseases</topic><topic>Diseases of the osteoarticular system</topic><topic>distal interphalangeal</topic><topic>distal interphalangeal finger joints</topic><topic>erosive arthritis</topic><topic>Female</topic><topic>Finger Joint</topic><topic>Fingers</topic><topic>Hand</topic><topic>Histiocytosis</topic><topic>Histiocytosis, Non-Langerhans-Cell - complications</topic><topic>Histiocytosis, Non-Langerhans-Cell - diagnosis</topic><topic>Humans</topic><topic>Inflammatory joint diseases</topic><topic>Laboratories</topic><topic>Lesson of the Month</topic><topic>Medical sciences</topic><topic>Metastasis</topic><topic>MRH</topic><topic>multicentric reticulohistiocytosis</topic><topic>osteoarthritis</topic><topic>PAS</topic><topic>Patients</topic><topic>periodic acid-Schiff</topic><topic>Physiological aspects</topic><topic>PsA</topic><topic>psoriatic arthritis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Santilli, D</creatorcontrib><creatorcontrib>Lo Monaco, A</creatorcontrib><creatorcontrib>Cavazzini, P L</creatorcontrib><creatorcontrib>Trotta, F</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Science Database</collection><collection>Biological Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Annals of the rheumatic diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Santilli, D</au><au>Lo Monaco, A</au><au>Cavazzini, P L</au><au>Trotta, F</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Multicentric reticulohistiocytosis: a rare cause of erosive arthropathy of the distal interphalangeal finger joints</atitle><jtitle>Annals of the rheumatic diseases</jtitle><addtitle>Ann Rheum Dis</addtitle><date>2002-06-01</date><risdate>2002</risdate><volume>61</volume><issue>6</issue><spage>485</spage><epage>487</epage><pages>485-487</pages><issn>0003-4967</issn><eissn>1468-2060</eissn><coden>ARDIAO</coden><abstract>Background: Multicentric reticulohistiocytosis (MRH) is a rare systemic disease, presenting with typical skin abnormalities and erosive polyarthritis, which is often associated with malignancy. Case report: A case of MRH arthropathy, in which the typical nodular skin manifestation of the disease was absent, is described in a patient with a past history of breast cancer and no evidence of recurrent or new malignancy. Results: Careful clinical and roentgenological evaluation disclosed important clues to differentiate this condition from other more common distal interphalangeal arthritides—namely, osteoarthritis and its “erosive” variant, rheumatoid arthritis, psoriatic arthritis, tophaceous gout, dialysis related hand arthropathy, and from the rarer fibroblastic rheumatism, all of which can be mimicked by MRH. Histopathology showed the characteristic histiocytic and multinucleated giant cell infiltrate with ground glass cytoplasm, and immunohistochemical analysis showed markers evocative of a monocyte/macrophage origin of MRH.</abstract><cop>London</cop><pub>BMJ Publishing Group Ltd and European League Against Rheumatism</pub><pmid>12006317</pmid><doi>10.1136/ard.61.6.485</doi><tpages>3</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Aged Arthritis - etiology Biological and medical sciences Breast cancer Breast Neoplasms - complications Cytoplasm Diabetes Mellitus, Type 1 - complications DIP Disease Diseases Diseases of the osteoarticular system distal interphalangeal distal interphalangeal finger joints erosive arthritis Female Finger Joint Fingers Hand Histiocytosis Histiocytosis, Non-Langerhans-Cell - complications Histiocytosis, Non-Langerhans-Cell - diagnosis Humans Inflammatory joint diseases Laboratories Lesson of the Month Medical sciences Metastasis MRH multicentric reticulohistiocytosis osteoarthritis PAS Patients periodic acid-Schiff Physiological aspects PsA psoriatic arthritis |
title | Multicentric reticulohistiocytosis: a rare cause of erosive arthropathy of the distal interphalangeal finger joints |
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