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. 2015 Nov 30;9(11):6–16. doi: 10.3941/jrcr.v9i11.2629

Table 1.

Summary table for Rosai-Dorfman disease, both for extra-CNS disease and for isolated spinal disease.

Extra-CNS Disease Isolated Spinal Disease
Etiology Idiopathic Idiopathic
Incidence 100 cases per year in US 15 reported cases (6 epidural, 7 intradural, 2 intramedullary)
Gender Ratio (M:F) 1.4:1 1.5:2
Age Predilection Mean age 21 years Mean age 40 years
Risk Factors Unknown Unknown
Clinical Symptoms
  • Variable depending on location of involvement

  • Constitutional symptoms common

  • Bilateral limb paraparesis, sensory deficits, urinary and bowel incontinence, back pain

  • Constitutional symptoms rare

Laboratory Findings Anemia, leukocytosis, elevated ESR, and/or polyclonal hypergammaglobulinemia reported in most patients Anemia, leukocytosis, elevated ESR, polyclonal hypergammaglobulinemia occur variably
Imaging Findings Variable CT and MRI findings depending on location
  • General: Well circumscribed mass in dural or epidural space

  • CT: Hyper-dense; homogenous enhancement

  • MRI: T1WI iso-intensity; T2WI hypo- or iso-intensity with possible heterogeneity; homogenous enhancement post-contrast

Treatment
  • Surgical resection

  • If recurrent, persistent, or multifocal disease, radiotherapy, steroids, or chemotherapy are variably effective

  • Surgical resection

  • If recurrent, persistent, or multifocal disease: radiotherapy, steroids, or chemotherapy

Prognosis Good Good