IgA/kappa-restricted crystal storing histiocytosis involving the central nervous system characterized by proteomic analysis

Clin Neuropathol. 2014 Jan-Feb;33(1):23-8. doi: 10.5414/NP300645.

Abstract

Crystal storing histiocytosis (CSH) is a rare disorder characterized by the accumulation of crystalline material in the cytoplasm of histiocytes. Involvement of the central nervous system (CNS) with CSH is extremely rare. Herein, we report a case of crystal storing histiocytosis involving the CNS. Using immunohistochemistry and mass spectrometry we demonstrate that the disease resulted from an IgA-κ restricted plasma cell dyscrasia. CNS-CSH represents a rare clinicopathologic entity with an indolent course, usually lacking systemic manifestations.

Publication types

  • Case Reports
  • Research Support, N.I.H., Extramural

MeSH terms

  • Adult
  • Brain Diseases / etiology
  • Brain Diseases / metabolism
  • Brain Diseases / pathology*
  • Female
  • Histiocytosis / etiology*
  • Histiocytosis / metabolism
  • Histiocytosis / pathology*
  • Humans
  • Immunoglobulin A / metabolism*
  • Paraproteinemias / complications*
  • Paraproteinemias / diagnosis*

Substances

  • Immunoglobulin A