Cutaneous amyloidosis as the first presentation of Waldenstrom macroglobulinemia

Authors

  • Behnam Rafiee Department of Pathology, NYU Winthrop Hospital, 222 Station Plaza, No. 620, Mineola, NY 11501, USA
  • Hojat Eftekhari Skin Research Center, Dermatology Department, Guilan University of Medical Sciences, Rasht, Iran
  • Rana Rafiei Skin Research Center, Dermatology Department, Guilan University of Medical Sciences, Rasht, Iran
Abstract:

Background: Waldenstrom macroglobulinemia is a lymphoplasmacytic lymphoma with elevated serum immunoglobulin M and multi-organ involvement. Primary systemic amyloidosis usually develops due to immunoglobulin light chains depositions in different organs due to an underlying gammopathy. Case presentation: Our patient was an 86-year-old man with macroglossia, ecchymotic patches and bullous lesions associated with a skin laxity on the periorbital, palmar, and glans penis areas. Skin biopsy confirmed dermal amyloid depositions. In serum immunofixation electrophoresis, prominent monoclonal immunoglobulin-M lambda light chains were detected associated with prominent lymphoplasmacytic infiltration in bone marrow biopsy which was diagnosed as Waldenstrom macroglobulinemia. Conclusions:  Skin involvement presenting as cutaneous amyloidosis could be the first manifestation of Waldenstrom macroglobulinemia. We should think about an underlying gammopathy in an old patient with skin laxity and ecchymosis

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Journal title

volume 11  issue 3

pages  17- 0

publication date 2020-05

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