Four Cases of the Rare Skin Manifestation: Monoclonal-Proteinemia

The skin manifestations of monoclonal(M)-proteinemia are rare and present in patients with monoclonal gammopathy of undetermined significance (MGUS), smoldering plasma cell myeloma (SMM) and multiple myeloma (MM). In this study, we reported 4 cases with M-proteinemia-related rare skin lesions, inclu...

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Main Authors: JIN Xianghong, XU Junqing, YANG Chen, ZHU Tienan, ZHUANG Junling
Format: Article
Language:zho
Published: Editorial Office of Journal of Rare Diseases 2022-10-01
Series:罕见病研究
Subjects:
Online Access:https://jrd.chard.org.cn/article/doi/10.12376/j.issn.2097-0501.2022.04.013
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author JIN Xianghong
XU Junqing
YANG Chen
ZHU Tienan
ZHUANG Junling
author_facet JIN Xianghong
XU Junqing
YANG Chen
ZHU Tienan
ZHUANG Junling
author_sort JIN Xianghong
collection DOAJ
description The skin manifestations of monoclonal(M)-proteinemia are rare and present in patients with monoclonal gammopathy of undetermined significance (MGUS), smoldering plasma cell myeloma (SMM) and multiple myeloma (MM). In this study, we reported 4 cases with M-proteinemia-related rare skin lesions, including pyoderma gangrenosum (PG), erythema elevatum diutinum (EED), cutis laxa (CL) and lichen myxedematosus(LM). These skin lesions are specific, where the potential mechanism was immune-mediated paraneoplastic syndrome rather than direct plasma cell infiltration. Anti-plasma cell treatment was effective in treating skin lesions. The clinical outcome of MM-related skin changes was correlated to tumor control, whereas the prognosis of MGUS or SMM related skin lesions was favorable. Skin involvement in M-proteinemia is extremely rare and less well-known, which greatly impairs quality of life. The diagnosis and treatment of these 4 cases support the need for futher study.
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spelling doaj.art-1f65ac378b5d49cfa18de0cd3c369fb12024-01-02T06:36:28ZzhoEditorial Office of Journal of Rare Diseases罕见病研究2097-05012022-10-011444044510.12376/j.issn.2097-0501.2022.04.013Four Cases of the Rare Skin Manifestation: Monoclonal-ProteinemiaJIN XianghongXU JunqingYANG Chen0ZHU Tienan1ZHUANG Junling2Department of Hematology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, ChinaDepartment of Hematology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, ChinaDepartment of Hematology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, ChinaThe skin manifestations of monoclonal(M)-proteinemia are rare and present in patients with monoclonal gammopathy of undetermined significance (MGUS), smoldering plasma cell myeloma (SMM) and multiple myeloma (MM). In this study, we reported 4 cases with M-proteinemia-related rare skin lesions, including pyoderma gangrenosum (PG), erythema elevatum diutinum (EED), cutis laxa (CL) and lichen myxedematosus(LM). These skin lesions are specific, where the potential mechanism was immune-mediated paraneoplastic syndrome rather than direct plasma cell infiltration. Anti-plasma cell treatment was effective in treating skin lesions. The clinical outcome of MM-related skin changes was correlated to tumor control, whereas the prognosis of MGUS or SMM related skin lesions was favorable. Skin involvement in M-proteinemia is extremely rare and less well-known, which greatly impairs quality of life. The diagnosis and treatment of these 4 cases support the need for futher study.https://jrd.chard.org.cn/article/doi/10.12376/j.issn.2097-0501.2022.04.013m-proteinemiaskin manifestationspyoderma gangrenosumerythema elevatum diutinumcutis laxalichen myxedematosus
spellingShingle JIN Xianghong
XU Junqing
YANG Chen
ZHU Tienan
ZHUANG Junling
Four Cases of the Rare Skin Manifestation: Monoclonal-Proteinemia
罕见病研究
m-proteinemia
skin manifestations
pyoderma gangrenosum
erythema elevatum diutinum
cutis laxa
lichen myxedematosus
title Four Cases of the Rare Skin Manifestation: Monoclonal-Proteinemia
title_full Four Cases of the Rare Skin Manifestation: Monoclonal-Proteinemia
title_fullStr Four Cases of the Rare Skin Manifestation: Monoclonal-Proteinemia
title_full_unstemmed Four Cases of the Rare Skin Manifestation: Monoclonal-Proteinemia
title_short Four Cases of the Rare Skin Manifestation: Monoclonal-Proteinemia
title_sort four cases of the rare skin manifestation monoclonal proteinemia
topic m-proteinemia
skin manifestations
pyoderma gangrenosum
erythema elevatum diutinum
cutis laxa
lichen myxedematosus
url https://jrd.chard.org.cn/article/doi/10.12376/j.issn.2097-0501.2022.04.013
work_keys_str_mv AT jinxianghong fourcasesoftherareskinmanifestationmonoclonalproteinemia
AT xujunqing fourcasesoftherareskinmanifestationmonoclonalproteinemia
AT yangchen fourcasesoftherareskinmanifestationmonoclonalproteinemia
AT zhutienan fourcasesoftherareskinmanifestationmonoclonalproteinemia
AT zhuangjunling fourcasesoftherareskinmanifestationmonoclonalproteinemia