J Manipulative Physiol Ther. 1994 Jan; 17(1): 38-42.

Multicentric reticulohistiocytosis (lipoid dermatoarthritis)

Hurtgen KL, Plezbert JA.

Academic Radiology Department, Parker College of Chiropractic, Dallas, TX 75229-5668.

OBJECTIVE: To present a rare case of multicentric reticulohistiocytosis seen in a chiropractic office. CLINICAL FEATURES: A 64-yr-old female suffered from polyarthralgic manifestations of reticulonodular histiocytosis in skin nodules, mucous membrane and breast tissue. This later suddenly expanded to other joints in her body, leading her to seek medical care. INTERVENTION AND OUTCOME: Therapeutic acupuncture at major Meridian points along with gentle mobilization, soft tissue therapy and physical therapy modalities was instituted. Progress over a two year period gradually improved, though overall prognosis must be considered poor. CONCLUSION: Multicentric reticulohistiocytosis is an uncommon problem seen in the chiropractic office. Conservative care may help with symptomatology, though long term prognosis is poor.