J Neuroophthalmol 2014 Sep;34(3):237-42
Department of Neuro-Ophthalmology (WLH, JF), Casey Eye Institute, Oregon Health & Science University, Portland, Oregon; Departments of Neurology (WLH) and Ophthalmology (WLH, JF), Oregon Health & Science University, Portland, Oregon; Arab Organization for Industrialization Hospital (AN), Cairo, Egypt; Department of Neuropathology (MRG), Oregon Health & Science University, Portland, Oregon; University of Pennsylvania School of Medicine (SJM), Philadelphia, Pennsylvania; Department of Radiology, Ophthalmology, and Otolaryngology (JLW), Oregon Health & Science University, Portland, Oregon; Department of Pathology (SKM, MTC), Thomas Jefferson University School of Medicine, Philadelphia, Pennsylvania; Department of Neuro-Ophthalmology (MLM), Wills Eye Institute, Philadelphia, Pennsylvania; and Departments of Neurology (MLM) and Ophthalmology (MLM), Thomas Jefferson University School of Medicine, Philadelphia, Pennsylvania.
Erdheim-Chester disease (ECD) is a rare non-Langerhans cell histiocytosis typically affecting multiple organ systems. We report 2 patients who presented with homonymous hemianopia and were ultimately diagnosed with biopsy-confirmed ECD. We review the spectrum of ECD and its treatment as well as histopathological and immunohistochemical differentiation from other histiocytic disorders.