Macular cutaneous amyloidosis treated with methyl aminolevulinate and daylight photodynamic therapy: A case report

Primary cutaneous amyloidosis is characterized by polymerization of extracellular amyloid precursors in β-pleated sheet conformation into larger fibrillar aggregates. Observation in models of Alzheimer’s disease have noted that amyloid polymerization in the brain is blocked by reactive oxygen specie...

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Main Authors: Christina M Huang, Lauren Lam, Robert Gniadecki
Format: Article
Language:English
Published: SAGE Publishing 2019-02-01
Series:SAGE Open Medical Case Reports
Online Access:https://doi.org/10.1177/2050313X19829617
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author Christina M Huang
Lauren Lam
Robert Gniadecki
author_facet Christina M Huang
Lauren Lam
Robert Gniadecki
author_sort Christina M Huang
collection DOAJ
description Primary cutaneous amyloidosis is characterized by polymerization of extracellular amyloid precursors in β-pleated sheet conformation into larger fibrillar aggregates. Observation in models of Alzheimer’s disease have noted that amyloid polymerization in the brain is blocked by reactive oxygen species. Singlet oxygen is formed in the skin during methyl aminolevulinate photodynamic therapy. Therefore, we speculate that type II photochemical reaction is responsible for the observed therapeutic activity of methyl aminolevulinate photodynamic therapy in our patient with primary cutaneous amyloidosis. Our case is the first report demonstrating the efficacy of daylight photodynamic therapy in primary cutaneous amyloidosis. Daylight photodynamic therapy may provide a convenient and cost-effective therapeutic option in primary cutaneous amyloidosis, and its efficacy should be further confirmed in prospective trials.
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spelling doaj.art-9effd3575479453997c7791b5eb74a8b2022-12-22T01:28:49ZengSAGE PublishingSAGE Open Medical Case Reports2050-313X2019-02-01710.1177/2050313X19829617Macular cutaneous amyloidosis treated with methyl aminolevulinate and daylight photodynamic therapy: A case reportChristina M Huang0Lauren Lam1Robert Gniadecki2Division of Dermatology, University of Alberta, Edmonton, AB, CanadaDivision of Dermatology, University of Alberta, Edmonton, AB, CanadaDivision of Dermatology, University of Alberta, Edmonton, AB, CanadaPrimary cutaneous amyloidosis is characterized by polymerization of extracellular amyloid precursors in β-pleated sheet conformation into larger fibrillar aggregates. Observation in models of Alzheimer’s disease have noted that amyloid polymerization in the brain is blocked by reactive oxygen species. Singlet oxygen is formed in the skin during methyl aminolevulinate photodynamic therapy. Therefore, we speculate that type II photochemical reaction is responsible for the observed therapeutic activity of methyl aminolevulinate photodynamic therapy in our patient with primary cutaneous amyloidosis. Our case is the first report demonstrating the efficacy of daylight photodynamic therapy in primary cutaneous amyloidosis. Daylight photodynamic therapy may provide a convenient and cost-effective therapeutic option in primary cutaneous amyloidosis, and its efficacy should be further confirmed in prospective trials.https://doi.org/10.1177/2050313X19829617
spellingShingle Christina M Huang
Lauren Lam
Robert Gniadecki
Macular cutaneous amyloidosis treated with methyl aminolevulinate and daylight photodynamic therapy: A case report
SAGE Open Medical Case Reports
title Macular cutaneous amyloidosis treated with methyl aminolevulinate and daylight photodynamic therapy: A case report
title_full Macular cutaneous amyloidosis treated with methyl aminolevulinate and daylight photodynamic therapy: A case report
title_fullStr Macular cutaneous amyloidosis treated with methyl aminolevulinate and daylight photodynamic therapy: A case report
title_full_unstemmed Macular cutaneous amyloidosis treated with methyl aminolevulinate and daylight photodynamic therapy: A case report
title_short Macular cutaneous amyloidosis treated with methyl aminolevulinate and daylight photodynamic therapy: A case report
title_sort macular cutaneous amyloidosis treated with methyl aminolevulinate and daylight photodynamic therapy a case report
url https://doi.org/10.1177/2050313X19829617
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AT laurenlam macularcutaneousamyloidosistreatedwithmethylaminolevulinateanddaylightphotodynamictherapyacasereport
AT robertgniadecki macularcutaneousamyloidosistreatedwithmethylaminolevulinateanddaylightphotodynamictherapyacasereport