Ferrara G, Cusano F, Capozzi M, De Dominicis G
Divisioni di Anatomia Patologica, P.O.M., G. Rummo di Benevento.
Pathologica. 1991 Jul-Aug;83(1086):485-9.
A case of cutaneous nodular amyloidosis in a 60-year-old man is described with reference to histological, immunohistochemical and ultrastructural features. Clinically, the patient presented two brownish nodules on his face. Histologically, a massive dermal collection of eosinophilic, homogeneous material showing positivity for Congo red stain was revealed. Immunoreactivity for both Ig-light chains was detected in dermal plasma cells as well as in amyloid material. Ultramicroscopically, the typical fibrillary pattern of amyloid was found. Clinical and instrumental examinations failed to demonstrate amyloid depositions elsewhere in the body.
本文描述了一名60岁男性皮肤结节性淀粉样变病例,并提及了组织学、免疫组化和超微结构特征。临床上,该患者面部出现两个褐色结节。组织学检查显示,真皮内有大量嗜酸性均质物质聚集,刚果红染色呈阳性。在真皮浆细胞以及淀粉样物质中均检测到Ig轻链的免疫反应性。超微镜下,发现了典型的淀粉样纤维模式。临床和仪器检查未发现身体其他部位有淀粉样沉积。