Hostname: page-component-78c5997874-g7gxr Total loading time: 0 Render date: 2024-11-09T16:26:06.313Z Has data issue: false hasContentIssue false

Coexistence of rhinoscleroma with Rosai–Dorfman disease: is rhinoscleroma a cause of this disease?

Published online by Cambridge University Press:  19 April 2012

J O Kumari*
Affiliation:
Department of ENT, Co-Operative Medical College, Kochi, Kerala, India
*
Address for correspondence: Dr Jyothy O Kumari, Saradapadmam, Mamala PO, Ernakulam Dist, Kerala, India PIN 682305 E-mail: [email protected]

Abstract

Introduction:

Rhinoscleroma and Rosai–Dorfman disease have been reported to coexist in the same patient at different sites. Rosai–Dorfman disease may have an aetiological relationship with rhinoscleroma, although this has not yet been proved.

Case report:

A case of a 42-year-old woman with recurrent nasal masses is presented, with histopathological proof of both conditions coexisting in the same nasal lesion.

Discussion:

The aetiopathology, clinical features and treatment of both diseases are discussed and a literature survey is reported. Histologically, the presence of Mikulicz cells with entrapped, rod-like, Gram-negative bacilli and Russell bodies suggests rhinoscleroma. Emperipolesis and S-100-positive histiocytes confirm the diagnosis of Rosai-Dorfman disease. The presence of both in the same slides from affected tissues has never been demonstrated before. In the light of this evidence, the author believes that rhinoscleroma must be considered in the aetiology of Rosai–Dorfman disease.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 2012

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1Hart, CA. Rhinoscleroma. J Med Microbiol 2000;49:395–6Google Scholar
2Foucar, E, Rosai, J, Dorfman, RF. Sinus histiocytosis with massive lymphadenopathy (Rosai Dorfman disease): review of entity. Semin Diagn Pathol 1990;7:1973Google Scholar
3Layfield, LJ. Fine needle aspiration cytologic findings in a case of sinus histiocytosis with massive lymphadenopathy (Rosai Dorfman syndrome). Acta Cytol 1990;34:767–70Google Scholar
4Lampert, F, Lennert, K. Sinus histiocytosis with massive lymphadenopathy: fifteen new cases. Cancer 1976;37:783–893.0.CO;2-L>CrossRefGoogle ScholarPubMed