Amantea A, Giuliano M C, Balus L
Laboratory of Cutaneous Histopathology, S. Gallicano Dermatological Institute, Rome, Italy.
Am J Dermatopathol. 1998 Feb;20(1):86-8. doi: 10.1097/00000372-199802000-00017.
The association of porokeratosis with dermal amyloid deposits is extremely rare, only three cases are reported in the literature. We describe a case of disseminated superficial porokeratosis (DSP) with clear histologic evidence of amyloid deposition in the upper dermis. The amyloid was typed with an original immunohistochemical assay based on three anticytokeratin antibodies (MNF 116, CK1, KER B). The epidermal origin of the substance (K amyloid) was demonstrated by its strong positivity for MNF 116 and KER B.
汗孔角化症与真皮淀粉样沉积的关联极为罕见,文献中仅报道了三例。我们描述了一例播散性浅表性汗孔角化症(DSP),其真皮上层有明确的淀粉样沉积组织学证据。通过基于三种抗细胞角蛋白抗体(MNF 116、CK1、KER B)的原创免疫组织化学检测对淀粉样物质进行分型。该物质(K淀粉样蛋白)对MNF 116和KER B呈强阳性,证明其来源于表皮。