title: Adult Orbital Xanthogranulomatous Disease: A Review with Emphasis on Etiology, Systemic Associations, Diagnostic Tools, and Treatment.
abstract: Adult orbital xanthogranulomatous diseases are rare entities and encompass a group of disorders with varying manifestations that are poorly understood. Taken as a group, there are non-Langerhans histiocytic disorders (type II) that are diagnosed histologically by the presence of foamy histiocytes, Touton giant cells, and varying degrees of fibrosis. Based on the accompanying systemic associations, there are 4 main categories of adult xanthogranulomatous disease: adult-onset xanthogranuloma, adult-onset asthma and periocular xanthogranuloma, necrobiotic xanthogranuloma, and Erdheim-Chester disease. Herein, we discuss the etiopathogenesis, systemic associations, methods of diagnosis, and treatment options for these disorders.
authors.affiliation: Department of Pathology and Laboratory Medicine, Loma Linda University Medical Center, 11234 Anderson Street, Room #2151, Loma Linda, CA 92354, USA.
authors.forename: Justin
authors.initials: J
authors.lastname: Kerstetter
authors.affiliation: Department of Pathology and Laboratory Medicine, Loma Linda University Medical Center, 11234 Anderson Street, Room #2151, Loma Linda, CA 92354, USA. Electronic address: jwang@llu.edu.
authors.forename: Jun
authors.initials: J
authors.lastname: Wang
mesh_terms: D000328:Adult; D001249:Asthma / Q000453:epidemiology; D065426:Cytoreduction Surgical Procedures; D031249:Erdheim-Chester Disease / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy*; D006099:Granuloma / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy*; D006801:Humans; D007166:Immunosuppressive Agents / Q000627:therapeutic use*; D008206:Lymphatic Diseases / Q000453:epidemiology; D008232:Lymphoproliferative Disorders / Q000453:epidemiology; D058252:Necrobiotic Xanthogranuloma / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy*; D009916:Orbital Diseases / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy*; D010265:Paraproteinemias / Q000453:epidemiology; D012867:Skin / Q000473:pathology*; D014973:Xanthomatosis / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy*
chemical_list: D007166:Immunosuppressive Agents
keywords: Adult onset asthma with periorbital xanthogranuloma; Adult orbital xanthogranulomatous disease; Erdheim-Chester disease; Necrobiotic xanthogranuloma; Orbital inflammation