Korean J Dermatol.  2023 Dec;61(10):639-642.

Multiple Cutaneous Rosai-Dorfman Disease on the Face Treated by Electrosurgery

• Lee J
• Lee GW
• Shin JO
• Roh D
• Kim Y
• Won SH
• Lee J
• Shin K
• Kim H
• Ko H
• Kim B
• Kim MB

Abstract

Cutaneous Rosai-Dorfman disease (RDD) is a rare, benign condition mainly affecting the lymph nodes and sometimes involving the skin. RDD is notorious for its poor response to medication, and surgery is often the preferred treatment option for limited lesions. Herein, we present a case of cutaneous RDD in a 49-year-old woman with multiple facial nodules that showed minimal response to treatment with steroids, isotretinoin, and methotrexate. The diagnosis of cutaneous RDD was confirmed based on histopathological examination. The patient showed minimal response to medication; however, electrosurgery resulted in a relatively good cosmetic response. The present case demonstrates that electrosurgery can be an effective treatment option for cutaneous RDD, especially in case of patients with multiple lesions. The rarity of this disease and the limited reports on its management highlights the need for further research on the efficacy of different surgical modalities for cutaneous RDD.

Keyword

Electrosurgery; Emperipolesis; Histiocytosis; Skin neoplasms