ECD | LCH | RDD | |
---|---|---|---|
Demographics | M>>F, 50–70 yrs | M > F, 1–3 yrs | M > F, young adults |
Presentation | Commonly asymptomatic; CNS involvement leads to diabetes insipidus, pontocerebellar symptoms, and seizures | Nonspecific, including lethargy, fever, bone pain, diabetes insipidus | Lymphadenopathy, night sweats, weight loss |
CNS imaging | Patchy enhancement and T2 hyperintensity in the posterior fossa; enlargement and enhancement of the pituitary stalk; loss of posterior pituitary T1 signal; intra- and extra medullary spinal lesions | Enlargement and enhancement of the pituitary stalk; loss of posterior pituitary T1 signal; neurodegenerative changes in the basal ganglia, pons, and dentate nuclei; parenchymal atrophy | Enlarged cervical lymph nodes; enhancing dural-based masses that mimic meningiomas |
Note:—M indicates male; F, female.