PMID- 22400904 OWN - NLM STAT- MEDLINE DCOM- 20121127 LR - 20161125 IS - 1093-5266 (Print) IS - 1093-5266 (Linking) VI - 15 IP - 4 DP - 2012 Jul-Aug TI - Extranodal rosai-dorfman disease presenting as a solitary mass with human herpesvirus 6 detection in a pediatric patient. PG - 324-8 LID - 10.2350/11-11-1110-CR.1 [doi] AB - In Rosai-Dorfman disease (RDD), exclusive extranodal involvement with lesions limited to the kidneys is very uncommon and has been described only in adult patients. Occasionally, human herpesvirus 6 (HHV-6) has also been detected in RDD tissue samples. We present the case of a 7-year-old boy referred to our center presenting a single solid mass in the right kidney measuring 3.4 cm, detected both on contrast computed tomography and magnetic resonance imaging. Surgical excision was successfully completed, and the pathology report informed characteristic histopathology and immmunohistochemistry features of RDD. Human herpesvirus 6 was detected and amplified by polymerase chain reaction, as well as by immunohistochemistry. We discuss imaging and histology-based differential diagnoses in the pediatric age group. Although RDD is a rare histiocytic disorder of unknown etiology and pathogenesis, the presence of HHV-6 observed in this case supports the possibility of an abnormal immunologic response linked to viral presence. FAU - Arakaki, Naomi AU - Arakaki N AD - Department of Neuropathology, FLENI, Montaneses 2325, 3rd Floor, Buenos Aires, Argentina, 1428. FAU - Gallo, Guillermo AU - Gallo G FAU - Majluf, Rodolfo AU - Majluf R FAU - Diez, Blanca AU - Diez B FAU - Arias, Eugenia AU - Arias E FAU - Riudavets, Miguel A AU - Riudavets MA FAU - Sevlever, Gustavo AU - Sevlever G LA - eng PT - Journal Article DEP - 20120308 PL - United States TA - Pediatr Dev Pathol JT - Pediatric and developmental pathology : the official journal of the Society for Pediatric Pathology and the Paediatric Pathology Society JID - 9809673 RN - 0 (DNA, Viral) SB - IM MH - Child MH - DNA, Viral/analysis MH - Diagnosis, Differential MH - Herpesvirus 6, Human/genetics/*isolation & purification MH - Histiocytosis, Sinus/*diagnosis/surgery/virology MH - Humans MH - Immunohistochemistry MH - Kidney/diagnostic imaging/pathology MH - Kidney Diseases/*diagnosis/surgery/virology MH - Magnetic Resonance Imaging MH - Male MH - Polymerase Chain Reaction MH - Roseolovirus Infections/*diagnosis/surgery/virology MH - Tomography, X-Ray Computed MH - Treatment Outcome EDAT- 2012/03/10 06:00 MHDA- 2012/12/10 06:00 CRDT- 2012/03/10 06:00 PHST- 2012/03/10 06:00 [entrez] PHST- 2012/03/10 06:00 [pubmed] PHST- 2012/12/10 06:00 [medline] AID - 10.2350/11-11-1110-CR.1 [doi] PST - ppublish SO - Pediatr Dev Pathol. 2012 Jul-Aug;15(4):324-8. doi: 10.2350/11-11-1110-CR.1. Epub 2012 Mar 8.