SciELO - Scientific Electronic Library Online

 
vol.92 issue3Cutaneous sarcoidosis and secondary open-angle glaucoma in a patient: case report and literature reviewWhite piedra, black piedra, tinea versicolor, and tinea nigra: contribution to the diagnosis of superficial mycosis author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand

Journal

Article

Indicators

Related links

Share


Anais Brasileiros de Dermatologia

Print version ISSN 0365-0596On-line version ISSN 1806-4841

Abstract

ANTONIO, Ana Marta; ALVES, João Vitor; COELHO, Ricardo  and  BARTOLO, Elvira. Solitary ulcerated plaque on the face - an unusual presentation of cutaneous plasmacytosis?. An. Bras. Dermatol. [online]. 2017, vol.92, n.3, pp.410-412. ISSN 0365-0596.  http://dx.doi.org/10.1590/abd1806-4841.20175355.

Cutaneous and systemic plasmacytosis is a rare disorder characterized by cutaneous polyclonal plasma cell infiltration frequently associated with polyclonal hypergammaglobulinemia and lymphadenopathy. We report a case of a 67-year-old woman with an inflammatory ulcerated plaque in the left masseter region. A skin biopsy showed dense perivascular infiltrate of mature plasma cells in the dermis without atypia and immunoglobulin light chain restriction. After physical examination and further investigation, we ruled out systemic disease. Our patient was successfully treated only with hydrocortisone cream application. Few cases of isolated benign primary cutaneous plasmacytosis have been described, particularly in children. After excluding the diagnosis of a reactive process to an infection, which is unlikely in this case, we suspected of a rare manifestation of primary cutaneous plasmacytosis in adults with distinct presentation and clinical course.

Keywords : Immunoglobulin light chains; Hypergammaglobulinemia; Plasmacytoma.

        · text in English     · English ( pdf )