Solitary ulcerated plaque on the face - an unusual presentation of cutaneous plasmacytosis?

Abstract Cutaneous and systemic plasmacytosis is a rare disorder characterized by cutaneous polyclonal plasma cell infiltration frequently associated with polyclonal hypergammaglobulinemia and lymphadenopathy. We report a case of a 67-year-old woman with an inflammatory ulcerated plaque in the left...

Full description

Bibliographic Details
Main Authors: Ana Marta António, João Vitor Alves, Ricardo Coelho, Elvira Bártolo
Format: Article
Language:English
Published: Sociedade Brasileira de Dermatologia 2017-06-01
Series:Anais Brasileiros de Dermatologia
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962017000300410&tlng=en
_version_ 1819284797134995456
author Ana Marta António
João Vitor Alves
Ricardo Coelho
Elvira Bártolo
author_facet Ana Marta António
João Vitor Alves
Ricardo Coelho
Elvira Bártolo
author_sort Ana Marta António
collection DOAJ
description Abstract Cutaneous and systemic plasmacytosis is a rare disorder characterized by cutaneous polyclonal plasma cell infiltration frequently associated with polyclonal hypergammaglobulinemia and lymphadenopathy. We report a case of a 67-year-old woman with an inflammatory ulcerated plaque in the left masseter region. A skin biopsy showed dense perivascular infiltrate of mature plasma cells in the dermis without atypia and immunoglobulin light chain restriction. After physical examination and further investigation, we ruled out systemic disease. Our patient was successfully treated only with hydrocortisone cream application. Few cases of isolated benign primary cutaneous plasmacytosis have been described, particularly in children. After excluding the diagnosis of a reactive process to an infection, which is unlikely in this case, we suspected of a rare manifestation of primary cutaneous plasmacytosis in adults with distinct presentation and clinical course.
first_indexed 2024-12-24T01:53:05Z
format Article
id doaj.art-e83777dfb9724d91afea81d2ef81ecee
institution Directory Open Access Journal
issn 0365-0596
language English
last_indexed 2024-12-24T01:53:05Z
publishDate 2017-06-01
publisher Sociedade Brasileira de Dermatologia
record_format Article
series Anais Brasileiros de Dermatologia
spelling doaj.art-e83777dfb9724d91afea81d2ef81ecee2022-12-21T17:21:40ZengSociedade Brasileira de DermatologiaAnais Brasileiros de Dermatologia0365-05962017-06-0192341041210.1590/abd1806-4841.20175355Solitary ulcerated plaque on the face - an unusual presentation of cutaneous plasmacytosis?Ana Marta AntónioJoão Vitor AlvesRicardo CoelhoElvira BártoloAbstract Cutaneous and systemic plasmacytosis is a rare disorder characterized by cutaneous polyclonal plasma cell infiltration frequently associated with polyclonal hypergammaglobulinemia and lymphadenopathy. We report a case of a 67-year-old woman with an inflammatory ulcerated plaque in the left masseter region. A skin biopsy showed dense perivascular infiltrate of mature plasma cells in the dermis without atypia and immunoglobulin light chain restriction. After physical examination and further investigation, we ruled out systemic disease. Our patient was successfully treated only with hydrocortisone cream application. Few cases of isolated benign primary cutaneous plasmacytosis have been described, particularly in children. After excluding the diagnosis of a reactive process to an infection, which is unlikely in this case, we suspected of a rare manifestation of primary cutaneous plasmacytosis in adults with distinct presentation and clinical course.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962017000300410&tlng=enImmunoglobulin light chainsHypergammaglobulinemiaPlasmacytoma
spellingShingle Ana Marta António
João Vitor Alves
Ricardo Coelho
Elvira Bártolo
Solitary ulcerated plaque on the face - an unusual presentation of cutaneous plasmacytosis?
Anais Brasileiros de Dermatologia
Immunoglobulin light chains
Hypergammaglobulinemia
Plasmacytoma
title Solitary ulcerated plaque on the face - an unusual presentation of cutaneous plasmacytosis?
title_full Solitary ulcerated plaque on the face - an unusual presentation of cutaneous plasmacytosis?
title_fullStr Solitary ulcerated plaque on the face - an unusual presentation of cutaneous plasmacytosis?
title_full_unstemmed Solitary ulcerated plaque on the face - an unusual presentation of cutaneous plasmacytosis?
title_short Solitary ulcerated plaque on the face - an unusual presentation of cutaneous plasmacytosis?
title_sort solitary ulcerated plaque on the face an unusual presentation of cutaneous plasmacytosis
topic Immunoglobulin light chains
Hypergammaglobulinemia
Plasmacytoma
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962017000300410&tlng=en
work_keys_str_mv AT anamartaantonio solitaryulceratedplaqueonthefaceanunusualpresentationofcutaneousplasmacytosis
AT joaovitoralves solitaryulceratedplaqueonthefaceanunusualpresentationofcutaneousplasmacytosis
AT ricardocoelho solitaryulceratedplaqueonthefaceanunusualpresentationofcutaneousplasmacytosis
AT elvirabartolo solitaryulceratedplaqueonthefaceanunusualpresentationofcutaneousplasmacytosis