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Erdheim-Chester Disease
Hystiocyte disease

From Mary Kugler, R.N., for About.com

Created: April 09, 2009

About.com Health's Disease and Condition content is reviewed by our Medical Review Board

In Erdheim-Chester disease there is excessive production and accumulation of histiocytes, which normally fight infection. The histiocytes accumulate in the loose connective tissue and bone, making these tissues abnormally thick, dense, and fibrous. Erdheim-Chester disease can affect many different parts of the body, such as the long bones in the arms and legs, the skin, lungs, brain, kidneys, heart, and eyes.

Erdheim-Chester disease usually affects adults, both men and women. There have been only about 300 cases of the disease published in the worldwide medical literature. Since Erdheim-Chester disease is rare and most physicians are not familiar with it, the actual number of people who have the disease may be higher.

Symptoms of Erdheim-Chester Disease

Symptoms of Erdheim-Chester disease may include:
  • bone pain in the long bones of the arms and legs
  • weight loss, night sweats, muscle and joint aches, weakness, and fatigue
  • difficulty walking and movement (ataxia)
  • difficulty speaking
  • kidney problems
  • soft tissue masses or lesions anywhere in the body
  • bulging of the eye (exophthalmos) due to a mass behind the eye; vision problems
  • shortness of breath; interstitial lung disease
  • increased susceptibility to infections
  • abnormal tissue in or around the heart

Diagnosis of Erdheim-Chester Disease

Different people experience different symptoms with Erdheim-Chester disease, so diagnosis of the disease may be difficult. X-rays, CT scans, MRIs, and bone scans look at the body tissues for abnormal thickening and masses or lesions. If a mass is found, a sample may be taken (biopsy) to look at the tissues under a microscope. In Erdheim-Chester disease, the biopsy would show clusters of histiocytes in the tissue. A chest x-ray would show if lung disease is present.

Treatment of Erdheim-Chester Disease

Treatment of Erdheim-Chester disease focuses on relieving the symptoms and trying to reduce or remove the masses in tissues. Since so little is known about the disease, there is no standard treatment, so any medications or surgery would be based on an individual’s medical needs.

Sources:

"What is Erdheim-Chester Disease?" ECD Global Alliance. 6 Apr 2009

Devouassoux, Gilles, Sylvie Lantuejoul, Patrick Chatelain, Elisabeth Brambilla, & Christian Brambilla. "Erdheim-Chester Disease: A Primary Macrophage Cell Disorder." Am J Respir Crit Care Med 157(1998): 650-653.

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