Erdheim-Chester disease: Misdiagnosed as multiple sclerosis

Publication Name

Practical Neurology

Abstract

Erdheim-Chester disease is a rare histiocytic neoplasm with a wide range of clinical manifestations. Due to its rarity and protean characteristics, this condition often presents a diagnostic challenge. A Caucasian woman in her late 60s presented with unsteadiness, dysphagia and dysarthria. She was initially diagnosed with secondary progressive multiple sclerosis but deteriorated over 2 years with a potential lack of therapeutic response. Subsequent investigations resulted in the diagnosis of Erdheim-Chester disease. She received targeted therapy with BRAF and MAPK-pathway inhibitors. Her initial response to treatment has been positive with functional gains and reduced disease burden on MR brain imaging, and with no significant adverse effects.

Open Access Status

This publication is not available as open access

Article Number

pn-2023-003865

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Link to publisher version (DOI)

http://dx.doi.org/10.1136/pn-2023-003865