New case of the day

[LADoc00]

---

Members do not see this ad.

Case 2: Elderly woman with SOB shown to have multifocal sclerotic blastic lesions in bilat femurs, fibulae and pelvis. Numerous consecutive biopsies showed only histocytes some of which had striated cytplasmic appearence on H+E. There was a minimal inflammatory infiltrate associated, no eosinophils. IHC shows these histocytes to be nonLangerhans type, CD1a and S100 negative but positive for CD68.

Diagnosis:

PS-This is an insanely hard case, in fact Im like one of less than dozen in the US who have made it. 42 reported cases worldwide. If you get this, skip residency go right to private practice. Surg path directors at 3 major hospitals couldnt get it.

 

[Mindy]

Erdheim-Chester disease or if you prefer polyostotic sclerosing histiocytosis.

Can I quit now?

Mindy

 

[LADoc00]

Erdheim-Chester disease or if you prefer polyostotic sclerosing histiocytosis.

Can I quit now?

Mindy

Smarty pants...I gave you too many clues......good job though!

Yes you can exit the match now, congrats.

I will put in the call the Betsy Bennet at the ABP to have your BE/BC certificate mailed out by New Years.

 

[LADoc00]

See link below
http://artpad.art.com/gallery/?i938l41ezvfo

 

[1Path]

Erdheim-Chester disease or if you prefer polyostotic sclerosing histiocytosis.

Can I quit now?

Mindy

I can't be the only one suprised Mindy got this right. But then again, the best pathologists I know are women..................... 😛 😉

 

[Mindy]

Exit the Match?!?!!!! all I can say is "OH MY GOD" in a high-pitched 😉 girlie voice. Match, as if! GO MGH!!! (little promo 👍 )

 

[LADoc00]

There is a serious hottie blonde at MGH, think her name is Sarah or something....Someone told me was Brazilian maybe? Dunno, she looks a model tho, she was at USCAP last year. You know her?

Yeah, I crash the MGH parties when I can...