Rosai Dorfman disease of the spine causing lumbosacral radiculopathy: A case report

Publication date: Available online 24 January 2020Source: Journal of Clinical Orthopaedics and TraumaAuthor(s): Prasad Patgaonkar, Alpeshkumar Thumbadia, Nandan Marathe, Vivek PatelAbstractRosai Dorfman disease (RDD) also known as sinus histiocytosis with massive lymphadenopathy (SHML) is a rare non-malignant proliferative disorder of unknown etiology.Here we present a case of Rosai Dorfman disease of the spine causing lumbo-sacral radiculopathy. CT and MRI revealed lytic expansile lesion in the left half of L4 vertebra mainly involving posterior aspect involving left pedicle and transverse process. Patient underwent surgery at L3-4 level by left fenestration. Histological examination confirmed the diagnosis of Rosai Dorfman disease.Skeletal involvement is a very rare presentation seen in 2% case with involvement of long bones including tibia, femur, humerus, clavicle and bones of hand. RDD affecting the spine has been rarely reported in literature.A team approach involving the radiologist, spine surgeon, pathologist and oncologist will lead to the early diagnosis and appropriate management of this rare clinical entity.
Source: Journal of Clinical Orthopaedics and Trauma - Category: Orthopaedics Source Type: research