Lee Dong Yoon, Kim Young Jin, Lee Ji Yeoun, Kim Mi Kyeong, Yoon Tae Young
Department of Dermatology, School of Medicine and Medical Research Institute, Chungbuk National University, Cheongju, Korea.
Ann Dermatol. 2011 Nov;23(4):515-8. doi: 10.5021/ad.2011.23.4.515. Epub 2011 Nov 3.
Primary localized cutaneous nodular amyloidosis (nodular amyloidosis) is a rare and distinct type of amyloidosis, in which amyloid L deposition is limited to the skin and typically manifested as a tumefactive nodule on the acral sites. However, the definite cause of nodular amyloidosis is still unknown. Although it is relatively well known that the amyloid deposits in nodular amyloidosis originate from immunoglobulin light chains secreted by local plasma cells, traumatic injury to the skin has rarely been recognized as a triggering factor of nodular amyloidosis. Herein, we present a case of a 50-year-old male patient with primary localized cutaneous nodular amyloidosis, which occurred after local trauma, and discuss the relationship between traumatic damage and dermal amyloid L deposition.
原发性局限性皮肤结节性淀粉样变(结节性淀粉样变)是一种罕见且独特的淀粉样变类型,其中淀粉样蛋白L沉积仅限于皮肤,通常表现为肢体末端部位的肿胀性结节。然而,结节性淀粉样变的确切病因仍不清楚。虽然相对熟知结节性淀粉样变中的淀粉样蛋白沉积物源自局部浆细胞分泌的免疫球蛋白轻链,但皮肤创伤很少被认为是结节性淀粉样变的触发因素。在此,我们报告一例50岁男性原发性局限性皮肤结节性淀粉样变患者,该病例发生于局部创伤后,并讨论创伤性损伤与真皮淀粉样蛋白L沉积之间的关系。