Erdheim-Chester disease

  • Rare form of histiocytosis
  • Mean age 55 – 60 years
  • M:F = 3:1
  • Skeletal involvement 95%
  • Cardiovascular involvement 50%
  • Retroperitoneal fibrosis 30%
  • CNS involvement
  • Diabetes insipidus
  • Exophthalmos
Imaging 
  • Bilateral, symmetrical cortical/medullary sclerosis of major long bone metadiaphyses with epiphyseal sparing
  • Bone scintigraphy, PET-CT show increased uptake