학술논문

Erdheim–Chester disease and knee pain in a dialysis patient.
Document Type
Article
Source
Clinical Kidney Journal. Aug2014, Vol. 7 Issue 4, p402-405. 4p.
Subject
*STIFLE joint
*HYPERESTHESIA
*ANALGESIA
*KNEE pain
*RETROPERITONEUM
Language
ISSN
2048-8505
Abstract
Erdheim–Chester disease is a rare inflammatory condition characterized by a non-Langerhans histiocytic infiltration, involving the skeleton, nervous system, viscera, retroperitoneum and elsewhere. The aetiology is unknown. Positron emission tomography shows areas of involvement. We managed a dialysis patient with knee pain; a bone marrow specimen showed typical CD68 positive, but CD1a negative cells. We initiated interferon-α therapy although other options remain open. In our patient, the simultaneous presence of secondary hyperparathyroidism with tumorous calcifications provided an interesting additional differential diagnostic possibility regarding skeletal pain. [ABSTRACT FROM AUTHOR]