类似肉芽肿疾病的局部皮肤结节性淀粉样变性的皮肤镜检查

Bhavesh Sonagara, Hita H. Mehta, Prachi C Gajjar
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引用次数: 2

摘要

皮肤淀粉样变性是指以皮肤中淀粉样物质沉积为特征的一类皮肤病。其中,局部皮肤结节性淀粉样变性(LCNA)是最罕见的一种皮肤淀粉样变性。一名38岁男性因左脸颊单一软结节病变就诊于皮肤科OPD。根据临床和皮肤镜检查,我们认为是肉芽肿性疾病,但组织病理学证实诊断为LCNA。系统性淀粉样变性在临床和实验室基础上被排除。患者局部应用他克莫司治疗,病情稍有好转,随访1年,未见全身异常。
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Dermoscopy of localized cutaneous nodular amyloidosis resembling granulomatous disorders
Cutaneous amyloidosis refers to a group of skin diseases, which is characterized by the deposition of amyloid material in the skin. Among them, Localized cutaneous nodular amyloidosis (LCNA) is the rarest type of cutaneous amyloidosis. A 38-year-old male presented to dermatology OPD with a single soft nodular lesion on left cheek. On basis of clinical and dermoscopic examination we thought it as granulomatous disease but histopathologically confirmed diagnosis of LCNA. Systemic amyloidosis is excluded on clinical as well as laboratory bases. The patient was treated with topical tacrolimus with slight improvement and followed up for 1 year and no systemic abnormalities were found.
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