Evidence map›Paper›PMID 38878198›Full record

SynthesisArchives of dermatological research2024

Cutaneous Rosai-Dorfman disease: a systematic review and reappraisal of its treatment and prognosis.

Omar Dhrif, Noureddine Litaiem, Wided Lahmar, Fakhri Fatnassi, Maroua Slouma, Faten Zeglaoui

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Archives of dermatological research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
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

10 citing papers in PubMed.

  1. [Rosai-Dorfman Syndrome-a diverse clinical spectrum].Dermatologie (Heidelberg, Germany) · 2026
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Omar DhrifDepartment of Dermatology, Charles Nicolle Hospital, Tunis, Tunisia. omar.dhrif@gmail.com.ORCID http://orcid.org/0000-0002-1827-0311
Noureddine LitaiemDepartment of Dermatology, Charles Nicolle Hospital, Tunis, Tunisia.
Wided LahmarFaculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia.
Fakhri FatnassiFaculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia.
Maroua SloumaFaculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia.
Faten ZeglaouiDepartment of Dermatology, Charles Nicolle Hospital, Tunis, Tunisia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cutaneous Rosai Dorfman disease (CRDD) is a rare histiocytic disorder that shows distinctive clinical presentation and prognosis. Sufficient data is currently lacking regarding evidence-based management of CRDD. This systematic review aims to provide a comprehensive overview of CRDD, focusing on treatment approaches and outcomes. PubMed and Scopus databases were searched for studies on CRDD from June 1st, 2013 to May 31st, 2023. Articles describing cases of CRDD confirmed with histological examination were eligible for inclusion. All interventions for CRDD were analyzed. The primary outcome measure was the response of cutaneous lesions to treatment including complete response (CR), partial response (PR), and no response. The secondary outcome measures were mortality rate, relapse rate, and the occurrence of adverse events related to CRDD treatment. Eighty-seven articles describing 118 CRDD cases were included. The mean age was 48.2±16.8 years. The sex ratio (F/M) was 1.53. Nodular (46.6%) erythematous (45.3%) lesions, located on the face (38.1%) were the most prevalent presentations. Associated hematological malignancies were noted in 8 (6.8%) cases. Surgical excision was the most prevalent intervention (51 cases) with CR in 48 cases. Systemic corticosteroids were used in 32 cases with 20 CR/PR, retinoids in 10 cases with 4 CR/PR, thalidomide in 9 cases with 5 CR/PR, methotrexate in 8 cases with 7 CR/PR while observation was decided in 10 cases with 6 CR/PR. Factors independently associated with the absence of response to treatment were facial involvement (OR = 0.76, p = 0.014), and cutaneous lesion size (OR = 1.016, p = 0.03). This systematic review shows distinctive clinical characteristics of CRDD and provides insights into the appropriate management of the disease. It allowed a proposal of a treatment algorithm that should be interpreted in the context of current evidence and would help practitioners in treating this rare disease.

Indexed as

Histiocytosis, SinusAdrenal Cortex HormonesAdultFemaleHumansMaleMethotrexateMiddle AgedPrognosisRetinoidsSkinSkin DiseasesTreatment OutcomeAdrenal Cortex HormonesMethotrexateRetinoidsCutaneous Rosai Dorfman diseaseHistiocytosisRosai Dorfman disease

Identifiers

What OpenQuestion holds

Textmetadata
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.