Intravascular/Intralymphatic Histiocytosis: A Report of 3 Cases.
Identifieur interne : 001C37 ( Main/Exploration ); précédent : 001C36; suivant : 001C38Intravascular/Intralymphatic Histiocytosis: A Report of 3 Cases.
Auteurs : Cuyan Demirkesen [Turquie] ; Tugce Kran ; Cem Leblebici ; Deniz Yücelten ; Ay E Esra Koku Aksu ; Cem MatSource :
- The American Journal of dermatopathology [ 1533-0311 ] ; 2015.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Biopsie, Dilatation pathologique, Facteurs de risque, Femelle, Histiocytes (anatomopathologie), Histiocytose (), Histiocytose (anatomopathologie), Histiocytose (étiologie), Humains, Immunohistochimie, Marqueurs biologiques (analyse), Mâle, Résultat thérapeutique, Sujet âgé, Vaisseaux lymphatiques (), Vaisseaux lymphatiques (anatomopathologie), Vaisseaux sanguins (), Vaisseaux sanguins (anatomopathologie).
- MESH :
- analyse : Marqueurs biologiques.
- anatomopathologie : Histiocytes, Histiocytose, Vaisseaux lymphatiques, Vaisseaux sanguins.
- étiologie : Histiocytose.
- Adolescent, Adulte, Biopsie, Dilatation pathologique, Facteurs de risque, Femelle, Histiocytose, Humains, Immunohistochimie, Mâle, Résultat thérapeutique, Sujet âgé, Vaisseaux lymphatiques, Vaisseaux sanguins.
English descriptors
- KwdEn :
- Adolescent, Adult, Aged, Biomarkers (analysis), Biopsy, Blood Vessels (chemistry), Blood Vessels (pathology), Dilatation, Pathologic, Female, Histiocytes (pathology), Histiocytosis (etiology), Histiocytosis (pathology), Histiocytosis (therapy), Humans, Immunohistochemistry, Lymphatic Vessels (chemistry), Lymphatic Vessels (pathology), Male, Risk Factors, Treatment Outcome.
- MESH :
- chemical , analysis : Biomarkers.
- chemistry : Blood Vessels, Lymphatic Vessels.
- etiology : Histiocytosis.
- pathology : Blood Vessels, Histiocytes, Histiocytosis, Lymphatic Vessels.
- therapy : Histiocytosis.
- Adolescent, Adult, Aged, Biopsy, Dilatation, Pathologic, Female, Humans, Immunohistochemistry, Male, Risk Factors, Treatment Outcome.
Abstract
Intravascular/intralymphatic histiocytosis (IV/ILH) is a rare, reactive cutaneous condition, with uncertain pathogenesis. It may be associated with various inflammatory and neoplastic diseases. Although the clinical presentation is various, the biopsies reveal dilated vessels, mostly lymphatics, containing aggregates of histiocytes within their lumina. We described 3 cases of IV/ILH with different clinical presentations. In the first case, the patient presented with lymphedema in the genital region without any underlying disease. However, the second and third cases had reticular erythematous skin lesions. The second case had common variable immunodeficiency disease, rheumatoid arthritis, inflammatory bowel disease, and a history of a lymphoproliferative lesion. The third case had metal prostheses at both his right and left knees. In all these 3 cases, histopathologic and immunohistochemical findings were similar to each other and to those cases reported in the literature. In addition, the third case was admixed with reactive angioendotheliomatosis. In the second case, the endothelium of the ectatic vessels expressed CD31 and CD34, but not D2-40/podoplanin, pointing out that these vessels were blood vessels rather than lymphatics, differing from the other 2 cases. In conclusion, we believe, the most convincing statement about IV/ILH is that it is not a distinct clinicopathologic entity, but a histopathologic feature found as a part of a constellation of inflammatory changes or many other conditions.
DOI: 10.1097/DAD.0000000000000257
PubMed: 26359822
Affiliations:
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Cerrahpasa Medical Faculty, Istanbul, Turkey; †Department of Pathology, Istanbul Training and Research Hospital; ‡Department of Dermatology, Marmara University; §Department of Dermatology, Istanbul Training and Research Hospital; and ¶Department of Dermatology, I.U. 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Cerrahpasa Medical Faculty, Istanbul, Turkey; †Department of Pathology, Istanbul Training and Research Hospital; ‡Department of Dermatology, Marmara University; §Department of Dermatology, Istanbul Training and Research Hospital; and ¶Department of Dermatology, I.U. Cerrahpasa Medical Faculty, Istanbul, Turkey.</nlm:affiliation><country xml:lang="fr">Turquie</country><wicri:regionArea>*Department of Pathology, I.U. Cerrahpasa Medical Faculty, Istanbul, Turkey; †Department of Pathology, Istanbul Training and Research Hospital; ‡Department of Dermatology, Marmara University; §Department of Dermatology, Istanbul Training and Research Hospital; and ¶Department of Dermatology, I.U. Cerrahpasa Medical Faculty, Istanbul</wicri:regionArea><wicri:noRegion>Istanbul</wicri:noRegion></affiliation></author><author><name sortKey="Kran, Tugce" sort="Kran, Tugce" uniqKey="Kran T" first="Tugce" last="Kran">Tugce Kran</name></author><author><name sortKey="Leblebici, Cem" sort="Leblebici, Cem" uniqKey="Leblebici C" first="Cem" last="Leblebici">Cem Leblebici</name></author><author><name sortKey="Yucelten, Deniz" sort="Yucelten, Deniz" uniqKey="Yucelten D" first="Deniz" last="Yücelten">Deniz Yücelten</name></author><author><name sortKey="Aksu, Ay E Esra Koku" sort="Aksu, Ay E Esra Koku" uniqKey="Aksu A" first="Ay E Esra Koku" last="Aksu">Ay E Esra Koku Aksu</name></author><author><name sortKey="Mat, Cem" sort="Mat, Cem" uniqKey="Mat C" first="Cem" last="Mat">Cem Mat</name></author></analytic><series><title level="j">The American Journal of dermatopathology</title><idno type="eISSN">1533-0311</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Biomarkers (analysis)</term><term>Biopsy</term><term>Blood Vessels (chemistry)</term><term>Blood Vessels (pathology)</term><term>Dilatation, Pathologic</term><term>Female</term><term>Histiocytes (pathology)</term><term>Histiocytosis (etiology)</term><term>Histiocytosis (pathology)</term><term>Histiocytosis (therapy)</term><term>Humans</term><term>Immunohistochemistry</term><term>Lymphatic Vessels (chemistry)</term><term>Lymphatic Vessels (pathology)</term><term>Male</term><term>Risk Factors</term><term>Treatment Outcome</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Biopsie</term><term>Dilatation pathologique</term><term>Facteurs de risque</term><term>Femelle</term><term>Histiocytes (anatomopathologie)</term><term>Histiocytose ()</term><term>Histiocytose (anatomopathologie)</term><term>Histiocytose (étiologie)</term><term>Humains</term><term>Immunohistochimie</term><term>Marqueurs biologiques (analyse)</term><term>Mâle</term><term>Résultat thérapeutique</term><term>Sujet âgé</term><term>Vaisseaux lymphatiques ()</term><term>Vaisseaux lymphatiques (anatomopathologie)</term><term>Vaisseaux sanguins ()</term><term>Vaisseaux sanguins (anatomopathologie)</term></keywords><keywords scheme="MESH" type="chemical" qualifier="analysis" xml:lang="en"><term>Biomarkers</term></keywords><keywords scheme="MESH" qualifier="analyse" xml:lang="fr"><term>Marqueurs biologiques</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Histiocytes</term><term>Histiocytose</term><term>Vaisseaux lymphatiques</term><term>Vaisseaux sanguins</term></keywords><keywords scheme="MESH" qualifier="chemistry" xml:lang="en"><term>Blood Vessels</term><term>Lymphatic Vessels</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Histiocytosis</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Blood Vessels</term><term>Histiocytes</term><term>Histiocytosis</term><term>Lymphatic Vessels</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Histiocytosis</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Histiocytose</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Biopsy</term><term>Dilatation, Pathologic</term><term>Female</term><term>Humans</term><term>Immunohistochemistry</term><term>Male</term><term>Risk Factors</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Biopsie</term><term>Dilatation pathologique</term><term>Facteurs de risque</term><term>Femelle</term><term>Histiocytose</term><term>Humains</term><term>Immunohistochimie</term><term>Mâle</term><term>Résultat thérapeutique</term><term>Sujet âgé</term><term>Vaisseaux lymphatiques</term><term>Vaisseaux sanguins</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Intravascular/intralymphatic histiocytosis (IV/ILH) is a rare, reactive cutaneous condition, with uncertain pathogenesis. It may be associated with various inflammatory and neoplastic diseases. Although the clinical presentation is various, the biopsies reveal dilated vessels, mostly lymphatics, containing aggregates of histiocytes within their lumina. We described 3 cases of IV/ILH with different clinical presentations. In the first case, the patient presented with lymphedema in the genital region without any underlying disease. However, the second and third cases had reticular erythematous skin lesions. The second case had common variable immunodeficiency disease, rheumatoid arthritis, inflammatory bowel disease, and a history of a lymphoproliferative lesion. The third case had metal prostheses at both his right and left knees. In all these 3 cases, histopathologic and immunohistochemical findings were similar to each other and to those cases reported in the literature. In addition, the third case was admixed with reactive angioendotheliomatosis. In the second case, the endothelium of the ectatic vessels expressed CD31 and CD34, but not D2-40/podoplanin, pointing out that these vessels were blood vessels rather than lymphatics, differing from the other 2 cases. In conclusion, we believe, the most convincing statement about IV/ILH is that it is not a distinct clinicopathologic entity, but a histopathologic feature found as a part of a constellation of inflammatory changes or many other conditions.</div></front></TEI><affiliations><list><country><li>Turquie</li></country></list><tree><noCountry><name sortKey="Aksu, Ay E Esra Koku" sort="Aksu, Ay E Esra Koku" uniqKey="Aksu A" first="Ay E Esra Koku" last="Aksu">Ay E Esra Koku Aksu</name><name sortKey="Kran, Tugce" sort="Kran, Tugce" uniqKey="Kran T" first="Tugce" last="Kran">Tugce Kran</name><name sortKey="Leblebici, Cem" sort="Leblebici, Cem" uniqKey="Leblebici C" first="Cem" last="Leblebici">Cem Leblebici</name><name sortKey="Mat, Cem" sort="Mat, Cem" uniqKey="Mat C" first="Cem" last="Mat">Cem Mat</name><name sortKey="Yucelten, Deniz" sort="Yucelten, Deniz" uniqKey="Yucelten D" first="Deniz" last="Yücelten">Deniz Yücelten</name></noCountry><country name="Turquie"><noRegion><name sortKey="Demirkesen, Cuyan" sort="Demirkesen, Cuyan" uniqKey="Demirkesen C" first="Cuyan" last="Demirkesen">Cuyan Demirkesen</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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