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Primary Cutaneous Rosai-Dorfman Disease: A Cyto-Histo Correlate

Nimisha Dhankar

Nimisha Dhankar

Department of Pathology, Maulana Azad Medical College, New Delhi, India

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Meeta Singh

Corresponding Author

Meeta Singh

Department of Pathology, Maulana Azad Medical College, New Delhi, India

Correspondence:

Meeta Singh ([email protected])

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Raman Sharma

Raman Sharma

Department of Otorhinolaryngology, Maulana Azad Medical College, New Delhi, India

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Nita Khurana

Nita Khurana

Department of Pathology, Maulana Azad Medical College, New Delhi, India

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Ravi Mehar

Ravi Mehar

Department of Otorhinolaryngology, Maulana Azad Medical College, New Delhi, India

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First published: 21 July 2025

ABSTRACT

Primary cutaneous Rosai-Dorfman disease (RDD) is a rare proliferative disorder of histiocytes involving exclusively skin. The diagnosis of cutaneous RDD relies on clinical, histopathological and immunohistochemical findings. Cytological diagnosis can also be made in the presence of diagnostic features like histiocytic proliferation and prominent emperipolesis. We present two rare cases of primary cutaneous RDD: a 20-year-old male and an 8-year-old male, diagnosed on fine-needle aspiration cytology (FNAC). The first case was multicentric with swellings on the nose and arm, while the second patient had a single swelling on the right pinna. FNAC was reported as cutaneous RDD in both cases, which was later confirmed on histopathology and immunohistochemistry.

Graphical Abstract

Primary cutaneous Rosai Dorfman disease (RDD) is a rare proliferative disorder of histiocytes involving skin exclusively. Cytomorphological features of two such cases affecting a 20-year-old male (multicentric) and an 8-year-old male are presented here. The diagnosis is challenging and a high index of suspicion and systemic correlation are necessary for early diagnosis and treatment.

Conflicts of Interest

The authors declare no conflicts of interest.

Data Availability Statement

The data that support the findings of this study are available on request from the corresponding author. The data are not publicly available due to privacy or ethical restrictions.

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