Primary systemic amyloidosis presenting as extensive cutaneous ulceration.

Abstract:

BACKGROUND:We report a case of primary systemic amyloidosis in a 78-year-old Caucasian woman presented as a nonhealing ulcer on the right thigh for 3 months. Histopathology of the skin revealed widely thickened walls of middermal and subcutaneous vessels from deposition of amorphous eosinophilic material that stained positively with Congo red and crystal violet. OBJECTIVE:This case represents a very unusual presentation of primary systemic amyloidosis, one in which the cutaneous manifestations provided the first signs of a devastatingly widespread multiorgan infiltration of amyloid protein. CONCLUSION:This presentation of the disease may signify an advanced stage with a grave prognosis as our patient passed away 3 months after development of the cutaneous ulceration.

journal_name

J Cutan Med Surg

authors

Alhaddab M,Srolovitz H,Rosen N

doi

10.2310/7750.2006.00046

subject

Has Abstract

pub_date

2006-09-01 00:00:00

pages

253-6

issue

5

eissn

1203-4754

issn

1615-7109

journal_volume

10

pub_type

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