Elsevier

The Journal of Hand Surgery

Volume 48, Issue 2, February 2023, Pages 200.e1-200.e3
The Journal of Hand Surgery

Case Repository
A Rare Case of Rosai-Dorfman Disease Affecting the Brachial Plexus: A Case Report

https://doi.org/10.1016/j.jhsa.2021.12.001Get rights and content

Sinus histiocytosis with massive lymphadenopathy or Rosai-Dorfman disease is a rare but well-established entity, commonly affecting the lymph nodes of the head and neck. Extranodal presentation, affecting the central nervous system, eye orbit, kidneys, testis, bones, upper respiratory tract, lungs, thyroid, small intestine, and peritoneum, has been reported. We present a case of a rare presentation of Rosai-Dorfman disease affecting the brachial plexus.

Section snippets

Case Report

A 24-year-old male patient was referred to our department in January 2020 from the department of neurology with complaints of weakness of the right upper limb and the inability to hold objects with the right hand. This was associated with muscle atrophy of his right upper extremity and continuous, dull, aching pain in both upper limbs for the past 4 years. He also reported gradually increasing weakness of his left upper extremity and both lower limbs over the last 6 months. There was also a

Discussion

Rosai-Dorfman disease is a rare entity affecting the lymph nodes and extranodal tissues. Although a well-established entity, the initial diagnosis of the disease remains a challenge owing to the varied systemic presentations. Clinical features such as low-grade fever, normocytic normochromic anemia, elevated erythrocyte sedimentation rate, leukocytosis, and hyperglobulinemia, are all nonspecific findings.6 The diagnosis of RDD is established by the presence of histological alterations in the

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