Scleroderma Associated with Monoclonal Gammopathy of Undetermined Significance

Abstract 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 show...

Full description

Bibliographic Details
Main Authors: Dalya M. M. Abdelmaged, Carol A. Avila, Michelle A. Rivera, Abubaker A. Mohamedsharif
Format: Article
Language:English
Published: Knowledge E 2022-12-01
Series:Sudan Journal of Medical Sciences
Subjects:
Online Access:https://doi.org/10.18502/sjms.v17i4.12553
_version_ 1797959947248467968
author Dalya M. M. Abdelmaged
Carol A. Avila
Michelle A. Rivera
Abubaker A. Mohamedsharif
author_facet Dalya M. M. Abdelmaged
Carol A. Avila
Michelle A. Rivera
Abubaker A. Mohamedsharif
author_sort Dalya M. M. Abdelmaged
collection DOAJ
description Abstract 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.
first_indexed 2024-04-11T00:38:46Z
format Article
id doaj.art-06dc2f2c5ad54e2293cfcfabf895b2e6
institution Directory Open Access Journal
issn 1858-5051
language English
last_indexed 2024-04-11T00:38:46Z
publishDate 2022-12-01
publisher Knowledge E
record_format Article
series Sudan Journal of Medical Sciences
spelling doaj.art-06dc2f2c5ad54e2293cfcfabf895b2e62023-01-06T10:23:13ZengKnowledge ESudan Journal of Medical Sciences1858-50512022-12-0117455656410.18502/sjms.v17i4.12553sjms.v17i4.12553Scleroderma Associated with Monoclonal Gammopathy of Undetermined SignificanceDalya M. M. Abdelmaged0Carol A. Avila1Michelle A. Rivera2Abubaker A. Mohamedsharif3 MD, Faculty of Medicine, Al Neelain University, Khartoum, Sudan Universidad de Carabobo, Valencia, Venezuela Weill Cornell Medicine, USA Weill Cornell Medicine, USA Faculty of Medicine, University of Khartoum, Khartoum, SudanAbstract 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.https://doi.org/10.18502/sjms.v17i4.12553serum protein electrophoresis (spep), monoclonal gammopathy of undetermined significance (mgus), double-stranded dna (dsdna), antinuclear antibodies immunoglobulin g (ana igg), anti-sjogren's syndrome (ssb), anti-topoisomerase antibody-type (scl), ribonucleic acid (rna), cyclic citrullinated peptide (ccp), u1 small nuclear ribonucleoprotein particle (u1 rnp), multiple myeloma (mm), immunomodulatory drugs (imids), proteasome inhibitors (pis), intravenous immunoglobulins (ivig)
spellingShingle Dalya M. M. Abdelmaged
Carol A. Avila
Michelle A. Rivera
Abubaker A. Mohamedsharif
Scleroderma Associated with Monoclonal Gammopathy of Undetermined Significance
Sudan Journal of Medical Sciences
serum protein electrophoresis (spep), monoclonal gammopathy of undetermined significance (mgus), double-stranded dna (dsdna), antinuclear antibodies immunoglobulin g (ana igg), anti-sjogren's syndrome (ssb), anti-topoisomerase antibody-type (scl), ribonucleic acid (rna), cyclic citrullinated peptide (ccp), u1 small nuclear ribonucleoprotein particle (u1 rnp), multiple myeloma (mm), immunomodulatory drugs (imids), proteasome inhibitors (pis), intravenous immunoglobulins (ivig)
title Scleroderma Associated with Monoclonal Gammopathy of Undetermined Significance
title_full Scleroderma Associated with Monoclonal Gammopathy of Undetermined Significance
title_fullStr Scleroderma Associated with Monoclonal Gammopathy of Undetermined Significance
title_full_unstemmed Scleroderma Associated with Monoclonal Gammopathy of Undetermined Significance
title_short Scleroderma Associated with Monoclonal Gammopathy of Undetermined Significance
title_sort scleroderma associated with monoclonal gammopathy of undetermined significance
topic serum protein electrophoresis (spep), monoclonal gammopathy of undetermined significance (mgus), double-stranded dna (dsdna), antinuclear antibodies immunoglobulin g (ana igg), anti-sjogren's syndrome (ssb), anti-topoisomerase antibody-type (scl), ribonucleic acid (rna), cyclic citrullinated peptide (ccp), u1 small nuclear ribonucleoprotein particle (u1 rnp), multiple myeloma (mm), immunomodulatory drugs (imids), proteasome inhibitors (pis), intravenous immunoglobulins (ivig)
url https://doi.org/10.18502/sjms.v17i4.12553
work_keys_str_mv AT dalyammabdelmaged sclerodermaassociatedwithmonoclonalgammopathyofundeterminedsignificance
AT carolaavila sclerodermaassociatedwithmonoclonalgammopathyofundeterminedsignificance
AT michellearivera sclerodermaassociatedwithmonoclonalgammopathyofundeterminedsignificance
AT abubakeramohamedsharif sclerodermaassociatedwithmonoclonalgammopathyofundeterminedsignificance