Retropharyngeal phlegmon in Rosai Dorfman disease

John M Carter; Amit Patel; Sean S Evans; Meredith Lakey; Kimsey H Rodriguez

doi:10.1016/j.ijporl.2013.11.019

Retropharyngeal phlegmon in Rosai Dorfman disease

Int J Pediatr Otorhinolaryngol. 2014 Feb;78(2):373-6. doi: 10.1016/j.ijporl.2013.11.019. Epub 2013 Nov 25.

Authors

John M Carter¹, Amit Patel², Sean S Evans³, Meredith Lakey⁴, Kimsey H Rodriguez⁵

Affiliations

¹ Tulane University, Department of Otolaryngology - Head & Neck Surgery, 1430 Tulane Avenue, New Orleans, LA 70112, United States. Electronic address: jcarter9@tulane.edu.
² Tulane University, Department of Otolaryngology - Head & Neck Surgery, 1430 Tulane Avenue, New Orleans, LA 70112, United States. Electronic address: apatel@tulane.edu.
³ Tulane University, Department of Otolaryngology - Head & Neck Surgery, 1430 Tulane Avenue, New Orleans, LA 70112, United States. Electronic address: sevans5@tulane.edu.
⁴ Tulane University, Department of Pathology, 1430 Tulane Avenue, New Orleans, LA 70112, United States. Electronic address: mlakey@tulane.edu.
⁵ Tulane University, Department of Otolaryngology - Head & Neck Surgery, 1430 Tulane Avenue, New Orleans, LA 70112, United States; Ochsner Medical Center - Department of Otolaryngology - Head & Neck Surgery, 1514 Jefferson Highway, Jefferson, LA 70121, United States. Electronic address: kirodriguez@ochsner.org.

PMID: 24332663
DOI: 10.1016/j.ijporl.2013.11.019

Abstract

Rosai Dorfman disease (RD), also known as sinus histiocytosis with massive lymphadenopathy (SHML), is a benign histiocytic proliferative condition of unsubstantiated etiology that most often presents as bilateral painless cervical lymphadenopathy. Head and neck manifestations of RD are diverse but most commonly present as massive cervical lymphadenopathy. Interestingly, a retropharyngeal fluid collection has never been described as a sequelae of RD. Our objective is to present a novel case of a 9-year old female with RD that suffered from recurrent retropharyngeal phlegmon and to discuss diagnostic and treatment recommendations for this disease process.

Keywords: Extranodal; Phlegmon; Retropharyngeal; Rosai Dorfman.

Publication types

Case Reports

MeSH terms

Cellulitis / diagnostic imaging*
Cellulitis / pathology
Cellulitis / surgery
Child
Female
Histiocytosis, Sinus / diagnostic imaging*
Histiocytosis, Sinus / pathology
Histiocytosis, Sinus / surgery
Humans
Pharyngeal Diseases / diagnostic imaging*
Pharyngeal Diseases / pathology
Pharyngeal Diseases / surgery
Recurrence
Tomography, X-Ray Computed