Multicentric Reticulohistiocytosis with Dermatomyositis-like Eruptions

Overview

Journal Intern Med

Specialty General Medicine

Date 2017 Aug 4

PMID 28768982

Authors

Natsuki Shima

Takamasa Murosaki

Takao Nagashima

Masahiro Iwamoto

Yusuke Amano

Naomi Nakano

Mamitaro Ohtsuki

Seiji Minota

Affiliations

Soon will be listed here.

Abstract

A 68-year-old man presented with polyarthritis, proximal muscle weakness, and erythema of the face, arms, neck, and anterior chest that resembled the V-neck sign. Initially, dermatomyositis (DM) was considered because of the erythema, polyarthritis, and muscle weakness. He also had mediastinal and hilar lymphadenopathy on contrast-enhanced computed tomography. Unexpectedly, a biopsy of the forehead skin revealed numerous multinucleated giant cells. A biopsy of a solitary nodule on the dorsum of his right middle finger revealed similar multinucleated giant cells with ground-glass cytoplasm, leading to the diagnosis of multicentric reticulohistiocytosis (MRH). Although MRH is rare, it should be remembered that MRH can mimic DM.

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