TY - JOUR
T1 - Crystal-storing histiocytosis
T2 - A clinicopathological study of 13 cases
AU - Kanagal-Shamanna, Rashmi
AU - Xu-Monette, Zijun Y.
AU - Miranda, Roberto N.
AU - Dogan, Ahmet
AU - Zou, Dehui
AU - Luthra, Rajyalakshmi
AU - Weber, Donna M.
AU - O'Malley, Dennis P.
AU - Jorgensen, Jeffrey L.
AU - Khoury, Joseph D.
AU - Bueso-Ramos, Carlos E.
AU - Orlowski, Robert Z.
AU - Medeiros, L. Jeffrey
AU - Young, Ken H.
N1 - Publisher Copyright:
© 2016 John Wiley & Sons Ltd.
PY - 2016/3/1
Y1 - 2016/3/1
N2 - Aims: Crystal-storing histiocytosis (CSH) is a rare lesion composed of histiocytes with abnormal intralysosomal accumulation of immunoglobulin (Ig) as crystals, reported in patients with plasmacytic/lymphoplasmacytic neoplasms. The aims of this study were to report the clinicopathological features of 13 patients with CSH, and to describe the proteomic composition of the crystals in three cases analysed by mass spectrometry (MS). Methods and results: There were seven men and six women, with a median age of 60 years (range, 33-79 years). CSH was generalized in one patient (8%) and localized in 12 (92%) patients, involving various sites. CSH was associated with a low-grade B-cell lymphoma with plasmacytoid differentiation or a plasma cell neoplasm in all cases. In 10 (77%) cases, CSH represented >50% of the neoplastic infiltrate. According to immunohistochemical studies, histiocytes were positive for monotypic kappa in 5 (50%) cases, and for monotypic lambda in 4 (40%) cases; in 1 (10%) case, the results were equivocal. MS analysis of the histiocyte contents in all three tested cases showed a predominance of variable-region fragments of Ig light and/or heavy chains. Conclusions: CSH is frequently associated with an underlying lymphoplasmacytic neoplasm. MS findings suggest that Ig alterations and/or possibly defects in the ability of histiocytes to process Ig play a role in pathogenesis.
AB - Aims: Crystal-storing histiocytosis (CSH) is a rare lesion composed of histiocytes with abnormal intralysosomal accumulation of immunoglobulin (Ig) as crystals, reported in patients with plasmacytic/lymphoplasmacytic neoplasms. The aims of this study were to report the clinicopathological features of 13 patients with CSH, and to describe the proteomic composition of the crystals in three cases analysed by mass spectrometry (MS). Methods and results: There were seven men and six women, with a median age of 60 years (range, 33-79 years). CSH was generalized in one patient (8%) and localized in 12 (92%) patients, involving various sites. CSH was associated with a low-grade B-cell lymphoma with plasmacytoid differentiation or a plasma cell neoplasm in all cases. In 10 (77%) cases, CSH represented >50% of the neoplastic infiltrate. According to immunohistochemical studies, histiocytes were positive for monotypic kappa in 5 (50%) cases, and for monotypic lambda in 4 (40%) cases; in 1 (10%) case, the results were equivocal. MS analysis of the histiocyte contents in all three tested cases showed a predominance of variable-region fragments of Ig light and/or heavy chains. Conclusions: CSH is frequently associated with an underlying lymphoplasmacytic neoplasm. MS findings suggest that Ig alterations and/or possibly defects in the ability of histiocytes to process Ig play a role in pathogenesis.
KW - Crystal-storing histiocytosis
KW - Immunoglobulin
KW - Lymphoplasmacytic neoplasm
KW - Mass spectrometry
KW - Proteomic analysis
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U2 - 10.1111/his.12768
DO - 10.1111/his.12768
M3 - Article
AN - SCOPUS:84957970328
SN - 0309-0167
VL - 68
SP - 482
EP - 491
JO - Histopathology
JF - Histopathology
IS - 4
ER -