Erdheim-Chester disease: Resolved heart tamponade, eye bulging, facial pain and diabetes insipidus

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I suffered to the same extent I was interested in obtaining the diagnosis. I felt excited when we got it, because we started to understand what the patient was suffering from, but challenged because the patient was in a bad condition and the treatment was difficult. I suffered again when she suffered a shocking adverse reaction, and felt excited again when we could overcome it. I think that my feelings have been in parallel to ones of the patient, her family and my colleagues. Writing this caser report has been a good experience, I have enjoyed doing so as well as my knowledge has improved. I am grateful to the patient for accepting to write her report about how she has lived the disease process and for her consent to publish it and the case report, as well as to my colleagues and personal in the hospital who have participated in the care and diagnosis of the patient, to the hospital as institution, and to the co-authors for their decisive contribution to the publication. They have made me feel confident. I am expectant, somewhat uncertain, but hopeful for the disease management in the future; the patient must be followed up for life.

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Not only this exemplifies a case of complex diagnosis and management but in addition it provides a comprehensive review on a rare disease, ECD difficult to find even in reviws of specialized journals. In asummary, complex diagnosis, complex management, and comprehensive. Tha's all an internist can ask for

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