Evidence map›Paper›PMID 31004029›Full record

ArticleHaematologica2020

Clinicopathological features, treatment approaches, and outcomes in Rosai-Dorfman disease.

Gaurav Goyal, Aishwarya Ravindran, Jason R Young, Mithun V Shah, N Nora Bennani, Mrinal M Patnaik, Grzegorz S Nowakowski, Gita Thanarajasingam, Thomas M Habermann, Robert Vassallo and 5 more

Open access · goldAbstract read
In one paragraph

Article in Haematologica, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 109 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
109citing papers in PubMed, 3 pooled it
9.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

109 citing papers in PubMed, 3 syntheses or guidelines pooled it, 207 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. [IgG4-related disease presenting with involvement of the eyes, pituitary gland and nervous system: A case report].Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences · 2026
    Article
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  11. Review
  12. Rosai-Dorfman disease withOxford medical case reports · 2026
    Article
  13. Article
  14. Rosai-Dorfman disease mimicking IgG4-related disease.Wiener medizinische Wochenschrift (1946) · 2026
    Article
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49 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 2 institutions in 1 country.

Gaurav GoyalDivision of Hematology, Mayo Clinic, Rochester, MN go.ronald@mayo.edu.
Aishwarya RavindranDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN.
Jason R YoungDepartment of Radiology, Mayo Clinic, Rochester, MN.
Mithun V ShahDivision of Hematology, Mayo Clinic, Rochester, MN.
N Nora BennaniDivision of Hematology, Mayo Clinic, Rochester, MN.
Mrinal M PatnaikDivision of Hematology, Mayo Clinic, Rochester, MN.
Grzegorz S NowakowskiDivision of Hematology, Mayo Clinic, Rochester, MN.
Gita ThanarajasingamDivision of Hematology, Mayo Clinic, Rochester, MN.
Thomas M HabermannDivision of Hematology, Mayo Clinic, Rochester, MN.
Robert VassalloDivision of Pulmonary Medicine, Mayo Clinic, Rochester, MN.
Taimur SherDivision of Hematology, Mayo Clinic, Jacksonville, FL, USA.
Sameer A ParikhDivision of Hematology, Mayo Clinic, Rochester, MN.
Karen L RechDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN.
Ronald S GoDivision of Hematology, Mayo Clinic, Rochester, MN go.ronald@mayo.edu.
Mayo Clinic Histiocytosis Working Group
Mayo Clinic in Arizona · USMayo Clinic in Florida · US

Funding

The Role of Monocytes in non-Hodgkin LymphomaP50CA097274 · NCI · UNIVERSITY OF IOWA · PI WEINER, GEORGE J. · 2002 to 2021
$45.7M
ZESTRIL VS. VERAPAMIL IN THE TREATMENT OF HYPERTENSIONM01RR000585 · NCRR · MAYO CLINIC ROCHESTER · PI RIZZA, ROBERT A. · 1985 to 2006
$30.4M
Institutional Career Development CoreKL2TR002379 · NCATS · MAYO CLINIC ROCHESTER · PI NILUFER ERTEKIN-TANER · 2017 to 2026
$14.9M
NCATS NIH HHS KL2 TR002379NCRR NIH HHS M01 RR000585
6 · The paper itself

Abstract

Rosai-Dorfman disease is a rare subtype of non-Langerhans cell histiocytosis. With the last major report published in 1990, there is a paucity of contemporary data on this disease. Our objective was to report the clinicopathological features, treatments and outcomes of patients seen at a tertiary referral center. Sixty-four patients with histopathological diagnosis of Rosai-Dorfman disease were identified from 1994 to 2017 (median age 50 years; range, 2-79). The median duration from symptom onset to diagnosis was seven months (range, 0-128), which was also reflected in the number of biopsies required to establish the diagnosis (median 2; range, 1-6). The most common presentation was subcutaneous masses (40%). Of the 64 patients, 8% had classical (nodal only) and 92% had extra-nodal disease (67% extra-nodal only). The most common organs involved were skin and subcutaneous tissue (52%), followed by lymph nodes (33%). Three patients had an overlap with Erdheim-Chester disease, which had not been described before. Two of these were found to have MAP2K1 mutations. Commonly utilized first line treatments were surgical excision (38%) and systemic corticosteroids (27%). Corticosteroids led to a response in 56% of the cases. Of those treated initially, 15 (30%) patients developed recurrent disease. The most commonly used systemic agent was cladribine (n=6), with 67% overall response rate. Our study demonstrates that Rosai-Dorfman disease has diverse clinical manifestations and outcomes. While this disease has been historically considered a benign entity, a subset of patients endures an aggressive course necessitating the use of systemic therapies.

Indexed as

Erdheim-Chester DiseaseHistiocytosis, SinusBiopsyHumansLymph NodesMiddle AgedMutation

Identifiers

PMID31004029
PMCPMC7012468
OpenAlexW2938722712

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.