[First case of cutaneous plasmocytoma in Africa]

Cutaneous plasmacytoma are dermo-hypodermic plasmacytic infiltrations. Occurrence is quite rare. Primary plasmacytoma and metastatic plasmacytoma in myeloma are distinguished. Firm, asymptomatic unique or multiple nodules are the common clinical form. We report the first african case of cutaneous plasmacytoma occurring in an IgG myeloma. It was a 73 year-old man with history of IgG myeloma, stade III of Durie and Salmon classification. At his third chemotherapy, he presented a pre-stemal nodule growing since 15 days. Histologic examination confirmed the diagnosis of cutaneous plasmacytoma. One months later news nodules and cranial lacunas were observed. It is important for the clinician to well known this complication of myeloma because of its bad prognosis. Moreover it should make modify the therapeutic protocol, if it's possible.