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局限性皮肤结节性淀粉样变:干燥综合征的一种特异性皮肤表现。

Localized Cutaneous Nodular Amyloidosis: A Specific Cutaneous Manifestation of Sjögren's Syndrome.

机构信息

Department of Dermatology, Hospital Universitario San Cecilio, Avda Conocimiento 33, 18016 Granada, Spain.

Department of Pathological Anatomy, Hospital Universitario San Cecilio, Avda Conocimiento 33, 18016 Granada, Spain.

出版信息

Int J Mol Sci. 2023 Apr 17;24(8):7378. doi: 10.3390/ijms24087378.

Abstract

Primary localized cutaneous nodular amyloidosis (PLCNA) is a rare condition attributed to plasma cell proliferation and the deposition of immunoglobulin light chains in the skin without association with systemic amyloidosis or hematological dyscrasias. It is not uncommon for patients diagnosed with PLCNA to also suffer from other auto-immune connective tissue diseases, with Sjögren's syndrome (SjS) showing the strongest association. This article provides a literature review and descriptive analysis to better understand the unique relationship between these two entities. To date, 34 patients with PLCNA and SjS have been reported in a total of 26 articles. The co-existence of PLCNA and SjS has been reported, especially in female patients in their seventh decade of life with nodular lesions on the trunk and/or lower extremities. Acral and facial localization, which is a typical localization of PLCNA in the absence of SjS, seems to be much more unusual in patients with associated SjS.

摘要

原发性局限性皮肤淀粉样变(PLCNA)是一种罕见的疾病,归因于浆细胞增殖和免疫球蛋白轻链在皮肤中的沉积,而与系统性淀粉样变性或血液学异常无关。诊断为 PLCNA 的患者也常同时患有其他自身免疫性结缔组织疾病,其中干燥综合征(SjS)与该病的关联最强。本文通过文献回顾和描述性分析,以更好地理解这两种疾病之间的独特关系。迄今为止,在总共 26 篇文章中报告了 34 例 PLCNA 和 SjS 合并的病例。PLCNA 和 SjS 同时存在的情况已有报道,特别是在 70 岁左右的女性患者中,躯干和/或下肢有结节性病变。肢端和面部定位,这是 PLCNA 在没有 SjS 时的典型定位,在伴有 SjS 的患者中似乎更为罕见。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7fe9/10139233/7f5acf801de7/ijms-24-07378-g001.jpg

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