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An Unusual Case of Lymphadenopathy

Case Report, Volume 10 Issue 2 – April to June 2017

Authors

Prof. Dr BabuRaj P, MDa, Dr Dyna T Denny, MBBSa, Dr Harikrishnan B L, MDb
a Department of General Medicine, Jubilee Mission Medical College & Research Institute, Thrissur;
b Department of Emergency Medicine, Jubilee Mission Medical College & Research Institute, Thrissur


Abstract

Rosai Dorfman Disease is a rare benign lymphoproliferative disease which is an unusual cause for lymphadenopathy. We report a case of 16 year old male who presented with massive bilateral cervical lymphadenopathy of 11/2 months duration. Blood investigations were normal except for raised ESR. Excision biopsy was done. Histological examination revealed mixed cellularity consisting of lymphocytes, plasma cells, numerous histiocytes exhibiting marked emperipolesis; suggestive of Rosai-Dorfman Disease (Sinus histiocytosis with massive lymphadenopathy). He was started on low dose steroids. The patient is being followed up; the case is being reported for its rarity.


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