与单克隆γ病相关的硬皮病意义不明

Abubaker A Mohamedsharif, Dalya M. M. Abdelmaged, Carol A. Avila, Michelle A. Rivera
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引用次数: 0

摘要

53岁女性,背部发痒。她有面部、颈部和躯干双侧皮肤紧绷5年的病史。她没有其他提示系统性硬化症(硬皮病)的症状,风湿病检查呈阴性。皮肤活组织检查显示皮肤黏液增多,证实硬化剂水肿的诊断。进一步的血清蛋白电泳(SPEP)显示M-spike,证实了MGUS为基础病理的单克隆γ病的诊断。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Scleroderma Associated with Monoclonal Gammopathy of Undetermined Significance
A 53-year-old female presented with itchiness in her back. She has a 5 years history of tightness of the skin on her face, neck, and torso bilaterally. She did not have other symptoms suggestive of systemic sclerosis (scleroderma), and her rheumatologic workup was negative. Skin biopsy showed increased dermal mucin confirming a diagnosis of scleredema. Further workup with serum protein electrophoresis (SPEP) showed an M-spike, confirming the diagnosis of monoclonal gammopathy of undetermined significance MGUS as the underlying pathology.
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