Kumakiri M
Hokkaido Igaku Zasshi. 1982 Mar;57(2):189-96.
Primary localized cutaneous amyloidosis showed filamentous degeneration of the epidermal keratinocytes. Although the cells retained the cell membrane and desmosomes, the cytoplasm was displaced by ca. 7nm thick wavy filaments (filamentous cell). Then the degenerated cells lost the cell membrane and situated among the keratinocytes (filamentous mass). The same mechanism was occasionally found in some kind of dermatoses. The filamentous masses which dropped into the dermis changed to amyloid in cutaneous amyloidosis. However, the final product in the other dermatosis was not exactly the same to amyloid observed in the primary localized cutaneous amyloidosis. Though the straight filaments were found in the masses, these were mainly composed of amorphous substance.
原发性局限性皮肤淀粉样变表现为表皮角质形成细胞的丝状变性。虽然细胞保留了细胞膜和桥粒,但细胞质被约7nm厚的波浪状细丝(丝状细胞)取代。然后,变性细胞失去细胞膜并位于角质形成细胞之间(丝状团块)。在某些皮肤病中偶尔也发现相同的机制。在皮肤淀粉样变中,掉入真皮的丝状团块会转变为淀粉样物质。然而,其他皮肤病中的最终产物与原发性局限性皮肤淀粉样变中观察到的淀粉样物质并不完全相同。虽然在团块中发现了直的细丝,但这些主要由无定形物质组成。