423 results match your criteria: "Amyloidosis Lichen"

Primary cutaneous amyloidosis (PCA) is a chronic pruritic skin disease. The apple-green birefringence of Congo red-stained amyloid under a polarized light microscope (CR-PLM) remains the gold standard in the diagnosis of PCA. However, there are some limitations to this approach.

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Lichen amyloidosis (LA) is a predominant type of primary cutaneous amyloidosis that is characterized by persistent and intense skin itching. Although multiple therapeutics strategies are available for its treatment, there is no standard treatment so far. Abrocitinib, an oral small-molecule Janus kinase 1 inhibitor, has been authorized for the treatment of severe atopic dermatitis (AD) and can also provide rapid relief from pruritus.

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Background: Medullary thyroid carcinoma (MTC), the third most frequent histological type of thyroid malignancy, may be found isolated or as part of multiple endocrine neoplasia type 2 (MEN2). One particular subtype of this autosomal dominant-transmitted syndrome includes an association with cutaneous lichen amyloidosis, although, generally, a tide genotype-phenotype correlation is described in patients who carry proto-oncogene pathogenic variants.

Methods: Our objective was to provide an endocrine perspective of a case series diagnosed with -positive familial MTC associated with cutaneous primary lichen amyloidosis amid the confirmation of MEN2.

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Cushing disease (CD), a rare endocrine disorder characterized by a pituitary adenoma that secretes excess adrenocorticotropic hormone (ACTH), leads to overproduction of cortisol by the adrenal glands and, depending on severity and duration, manifests with a broad spectrum of clinical signs and symptoms, ranging from classical features to more common conditions seen in the general population. Discovery of molecular and pathogenic mechanisms related to the development of CD tumors has increased in recent years, almost two-thirds of the somatic variants cases have been linked to the USP8 gene, while very rare germline variants in MEN1 and AIP genes have been associated with pituitary adenomas. Variants affecting the RET proto-oncogene, which encodes a receptor tyrosine kinase involved in cell growth and differentiation, are implicated in the development of medullary thyroid carcinoma (MTC) and its hereditary form, multiple endocrine neoplasia type 2 (MEN2).

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Different types of neuroendocrine cancer, including medullary thyroid cancer (MTC) and thyroid C-cell hyperplasia, are part of multiple endocrine neoplasia type 2 (MEN2). A proto-oncogene mutation of the rearranged during transfection () gene changes the way that receptor tyrosine kinases work. Multiple endocrine neoplasia, a pathological condition, involves these kinases.

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Multiple endocrine neoplasia type 2 (MEN2) is the collective term for two distinct types of autosomal dominantly inherited neuroendocrine neoplasm syndromes: MEN2A and MEN2B (or MEN3). MEN2 is characterised by medullary thyroid cancer (MTC) (99%) and phaeochromocytoma (50%) and also other conditions according to specific genotype. MEN2A also includes a 25% risk of developing parathyroid hyperplasia and is now recognised as four separate syndromes: classic MEN2A, MEN2A with cutaneous lichen amyloidosis, MEN2A with Hirschsprung's disease and familial MTC.

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Article Synopsis
  • This review focuses on the relationship between pathogenic variants related to medullary thyroid cancer (MTC) and multiple endocrine neoplasia type 2 (MEN2), especially considering their connection to cutaneous lichen amyloidosis (CLA).
  • It highlights that most MEN2A patients with CLA have a specific pathogenic variant at codon 634, yet the connection between CLA and MTC remains poorly understood despite being recognized for over thirty years.
  • The findings indicate that CLA usually appears early in life, often before MTC is diagnosed, and the relationship between mutations and CLA presentation can vary even within the same family.
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  • Facial pigmentation is a significant issue for many patients in dermatology, often linked to psychological distress and a decreased quality of life.
  • The study focused on analyzing different dermoscopic patterns of facial melanosis and determining their frequency among patients with facial hyperpigmentation.
  • Results showed that 100 patients were affected, predominantly females aged 21-40, with melasma being the most common type of facial pigmentation, accounting for nearly half of the cases.
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Lichen Amyloidosis in an Atopic Patient Treated with Dupilumab: A New Therapeutic Option.

Diseases

May 2024

Section of Dermatology and Venereology, Department of Precision and Regenerative Medicine and Ionian Area (DiMePRe-J), University of Bari "Aldo Moro", 70124 Bari, Italy.

Article Synopsis
  • Lichen amyloidosis (LA) is a skin condition with itchy brownish papules mainly on the lower legs and sometimes linked to atopic dermatitis (AD), though its exact cause is unclear.
  • Treatment options include antihistamines, laser therapy, and corticosteroids, but Dupilumab may also be beneficial due to its connection with AD.
  • A case study of a 52-year-old woman with LA and AD showed that after using Dupilumab, both conditions resolved after one year, suggesting Dupilumab's effectiveness and safety for LA treatment.
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  • Amyloid deposits are linked to various chronic diseases, with Primary Localized Cutaneous Amyloidosis (PLCA) being a dermatological condition characterized by amyloid buildup in the skin.
  • The study analyzed 41 PLCA patients in Central Europe, revealing a higher prevalence in females and specific age and location patterns of the disease.
  • Most patients responded best to topical corticosteroids, but the study highlights the need for more research and standardized treatment guidelines due to the condition's rarity.
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Article Synopsis
  • Lichen amyloidosis is a chronic, itchy skin condition linked to atopic dermatitis, but the connection between the two is not fully understood.
  • This study reviewed cases of lichen amyloidosis in patients also diagnosed with atopic dermatitis, comparing 20 case patients to 20 matched controls.
  • Findings indicated that lichen amyloidosis was relatively rare (0.8% prevalence), primarily affecting adult males with moderate-to-severe atopic dermatitis, and lesions were mostly found on the extremities; however, its presence did not significantly affect the severity of atopic dermatitis.
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Article Synopsis
  • Primary localized cutaneous amyloidosis (PLCA) involves the buildup of abnormal protein structures in the skin, presenting in forms like macular, papular, and nodular amyloidosis, without affecting the rest of the body.
  • The exact causes of PLCA are not well understood, but it is thought to be triggered by recurring skin injuries, such as repeated insulin injections.
  • A case study highlights a 54-year-old Korean male who developed cutaneous localized amyloidosis after frequent local insulin injections, suggesting a link between insulin therapy in diabetes patients and the development of amyloid deposits in the skin.
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Immunologic and nonimmunologic sclerodermal skin conditions - review.

Front Immunol

February 2024

Multidisciplinary Integrated Center of Dermatological Interface Research MIC-DIR (Centrul Integrat Multidisciplinar de Cercetare de Interfata Dermatologica - CIM-CID), "Dunărea de Jos" University, Galaţi, Romania.

Article Synopsis
  • * These lesions have been linked to autoimmune diseases (like generalized morphea and chronic graft versus host disease), tissue storage diseases, metabolic disorders, and some progeroid syndromes.
  • * Accurate diagnosis is crucial for distinguishing these lesions from each other to ensure the right treatment is administered.
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  • The case involves a rare patient with generalized, non-pruritic lichen amyloidosis, contributing to the few reported instances of this condition.
  • Typically, lichen amyloidosis presents with itchy, dark spots on the skin, particularly on the legs, caused by amyloid deposits from skin cells.
  • This patient's presentation questions the common belief that chronic scratching causes amyloid buildup, suggesting that other factors may be involved.
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Article Synopsis
  • Lichen amyloidosis (LA) is a tough-to-treat skin disease that often causes severe itching and can occur alongside atopic dermatitis (AD), complicating treatment options.* -
  • The article discusses four patients suffering from LA and AD who initially had no relief from previous treatments but saw significant improvement after receiving dupilumab injections.* -
  • The study suggests that dupilumab could be an effective new treatment option for patients dealing with both LA and AD.*
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Article Synopsis
  • Immunoglobulin G4-related disease (IgG4-RD) is a rare condition that causes inflammation and severe itchiness due to IgG4-expressing plasma cell infiltration in the skin and other organs.
  • Traditional treatment with oral corticosteroids often leads to relapses and side effects, as demonstrated in a patient with persisting dermatitis and lichen amyloidosis that did not fully respond to this therapy.
  • Treatment with dupilumab, an IL-4 and IL-13 inhibitor, resulted in significant improvement and complete resolution of the patient's itch and rash, suggesting that these interleukins may play a key role in IgG4-RD and warrant further clinical investigation.
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Article Synopsis
  • A collision tumor is a lesion made up of two or more distinct tumors located in the same area, which can also be referred to as a "MUSK IN A NEST" when it involves multiple skin tumors.
  • A case study of a 42-year-old woman with a long-term itchy skin condition revealed a combination of macular seborrheic keratosis and lichen amyloidosis, showcasing a clear example of a MUSK IN A NEST.
  • The findings suggest that occurrences of this combined tumor phenomenon could be more common than previously documented in medical literature.
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