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Published on: March 7, 2019
Mucocutaneous bullous amyloidosis with an unusual mixed protein composition of amyloid deposits
N Rekhtman1, K S Hash, J M Moresi
1Department of Pathology, The Johns Hopkins Medical Institutions, Baltimore, MD 21287, USA. nrekhtm1@jhmi.edu
Abstract:
We describe a case of fatal systemic amyloidosis presenting with mucocutaneous bullous lesions in a patient with IgA kappa monoclonal gammopathy. The amyloid plaques were composed of an unusual mixture of immunoglobulin kappa light chain and amyloid A proteins. Whereas oesophageal and oropharyngeal blisters are known to occur in several types of bullous dermatoses, to our knowledge this is the first report of oesophagopharyngeal blisters complicating bullous amyloidosis.
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