Cutaneous malakoplakia: case report and review

Afonso, João Paulo Junqueira Magalhães; Ando, Patricia Naomi; Padilha, Maria Helena Valle de Queiroz; Michalany, Nilceo Schwery; Porro, Adriana Maria

doi:10.1590/abd1806-4841.20131790

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Case Report • An. bras. dermatol. 88 (3) • June 2013 • https://doi.org/10.1590/abd1806-4841.20131790 copy

Cutaneous malakoplakia: case report and review^* * Syudy carried out at the Dermatology Department of Paulista Medical School (Departamento de Dermatologia da Escola Paulista de Medicina - UNIFESP) - São Paulo (SP) Brazil.

Malacoplaquia cutânea: relato de caso com revisão da literatura

Authorship SCIMAGO INSTITUTIONS RANKINGS

Malakoplakia is a rare acquired disease that can affect many systems but is more common in the urogenital tract. Cutaneous malakoplakia is even rarer. It is far more frequent in immunodeficient patients. We report a case of cutaneous malakoplakia in a kidney transplant patient who had recently stopped receiving immunosuppressive therapy to illustrate a review of the relevant recent literature.

Kidney Transplantation; Malacoplakia; Review; Skin

Reported Cases of Cutaneous Malakoplakia in the Literature*

Case No.	Reference No.	Age/Sex	Location	Gross	Medical History
1	5	51 y/M	Perianal, inguinal, scrotum	Nodules and ulcerations	Kidney Tx
2	5	67 y/M	Right temple	Nodule	Kidney Tx
3	33	69 y/F	Right axilla	Ulceration and mass	RA, breast carcinoma
4	34	40 y/F	Inguinal, broad ligament	Ulceration	N/A
5	10	64 y/M	Perianal	Indurated mass	RA
6	35	35 y/M	Left eyelid	Nodule	Kidney Tx
7	1	64 y/M	Perianal	Ulceration	Lymphoma
8	36	75 y/F	Vulva	Ulceration	RA
9	37	50 y/F	Abdominal wound	Polypoid mass	N/A
10	38	31 y/M	Right axilla	Mass	HIV
11	9	32 y/M	Abdomen	Abdomen Abscess	Kidney Tx
12	9	44 y/M	Perianal and left lung	Abscess	Kidney Tx
13	9	42 y/M	Right axilla	Chronic abscess	SLE
14	39	70 y/M	Buttock	Nodule	Chronic hepatitis C
15	40	75 y/M	Right hand and wrist	Abscess	N/A
16	41	41 y/M	Peritoneal, supraclavicular	Cystic mass and firm nodule	DM
17	42	74 y/M	Perianal	Nonhealing lesion	MPD
18	43	55 y/M	Gluteal cleft	Ulcers	HIV
19	44	67 y/M	Left neck	Mass	No significant PMH
20	45	81 y/F	Frontal mass	Irregular plaque	DM
21	46	56 y/M	Internal canthus of eye	Nodule	Sarcoidosis
22	32	44 y/F	Buttock	Nodule	Kidney Tx
23	47	60 y/F	Nasolabial sulcus	Ulceration	N/A
24	14	2 mo/M	Colorectal and perianal	Polypoid masses	Immunodeficiency
25	2	68 y/M	Left inguinal region	Papules	N/A
26	2	66 y/M	Right axilla	Nodule	RA, DM
27	48	53 y/F	Perineum	Papules	Kidney Tx
28	49	42 y/M	Inguinal region	Mass with ulceration	Lymphoma
29	50	41 y/M	Frontal scalp, right lung	Abscess, pulmonary lesions	HIV, Hepatitis B
30	51	64 y/F	Left neck mass	Mass with cavitation	Thyroidectomy
31	52	60 y/M	Gluteal fold	Cutaneous fistula	DM
32	53	62 y/M	Chest	Ulceration	N/A
33	54	65 y/M	Ureterocutaneous fistula	Abdominal fistula	N/A
34	19	51 y/M	Perianal	Nodule	Heart Tx
35	55	69 y/M	Left arm and flank	Ulceration, mass	Escherichia coli sepsis
36	56	55 y/F	Abdominal wall	Papules	N/A
37	57	22 y/F	Arm	Fluctuating mass	N/A
38	58	52 y/F	Inferior abdomen	Fistula with abscess	Kidney Tx
39	59	30 y/M	Perianal	Abscesses	Dermatomyositis
40	60	51 y/M	Left thigh	Mass with draining abscess	HIV, DM
41	16	60 y/F	Abdominal fold	Pink-yellow plaques	Healthy
42	17	23 y/M	Perianal	Pink nodules	Healthy
43	18	14 Y/M	Gluteal fold	Papule	Healthy
44	20	55 y/F	Right Labia	"Boil" (nodule + abscess)	Heart Tx
45	27	58 y/M	Perianal	Erosive plaque	Psoriasis
46	61	63 y/F	Abdominal wall	Fistula	Pulmonary sarcoidosis
47	62	83 y/F	Neck	Goma (nodule + fistula)	SLE, RA, Sjogren
48	63	45 y/F	Perigenital	Papules, nodules and sinuses	HIV
49	64	24 y/M	Abdominal wall	Fistula	Psoas abscess (Tuberculosis?)
50	65	87 y/M	Buttock	Scaly plaques and polypoid nodules	No significant PMH
51	66	66 y/M	Lower abdomen	Abscesses, nodules and fistula	Poor overall health
52	current article case	51 y/M	Left groin	Plaque	Kidney Tx

Sociedade Brasileira de Dermatologia Av. Rio Branco, 39 18. and., 20090-003 Rio de Janeiro RJ, Tel./Fax: +55 21 2253-6747 - Rio de Janeiro - RJ - Brazil
E-mail: revista@sbd.org.br

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Cutaneous malakoplakia: case report and review* * Syudy carried out at the Dermatology Department of Paulista Medical School (Departamento de Dermatologia da Escola Paulista de Medicina - UNIFESP) - São Paulo (SP) Brazil.

Malacoplaquia cutânea: relato de caso com revisão da literatura

Cutaneous malakoplakia: case report and review^* * Syudy carried out at the Dermatology Department of Paulista Medical School (Departamento de Dermatologia da Escola Paulista de Medicina - UNIFESP) - São Paulo (SP) Brazil.