Presentation
Many patients present with café au lait spots, which, in most individuals, are present at birth. [emedicine.medscape.com]
A 35 year old white woman presented in March 2000 to a genitourinary medicine (GUM) clinic with 5 year history of recurrent lesions typical of genital herpes simplex virus (HSV) infection occurring almost every month. [sti.bmj.com]
Jaw & Teeth
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Xerostomia
Another manifestation of oral amyloidosis may be xerostomia, resulting from salivary gland infiltration by amyloid. Primary localized cutaneous amyloidosis does not appear to be related to systemic illness. [emedicine.medscape.com]
Cardiovascular
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Heart Disease
Anagrelide is associated with an acquired idiopathic cardiomyopathy and must be used with extreme caution in patients with known or suspected heart disease. [47, 48] Low-dose aspirin 75-100 mg/d should be given to all patients if not contraindicated. [emedicine.medscape.com]
Musculoskeletal
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Arthritis
AA-type amyloidosis (secondary systemic amyloidosis) is usually associated with a chronic inflammatory process, such as rheumatoid arthritis, chronic osteomyelitis, tuberculosis, or leprosy. [emedicine.medscape.com]
Skin
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Alopecia
Several nonspecific lesions, including amyloidosis, cold urticaria, alopecia, pigmentation, and Raynaud phenomenon, are associated with multiple myeloma. [emedicine.medscape.com]
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Blister
Because blisters can be present at birth, cutaneous manifestations are a diagnostic possibility among individuals with neonatal blistering disease. Children are at risk for flushing, hypotension, shock, and death. [emedicine.medscape.com]
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Angioedema
Acyclovir therapy for angioedema and chronic urticaria. Cutis 1997 ; 59 : 85 –8. [sti.bmj.com]
Neurologic
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Dysesthesia
The onset of ulcers is often spontaneous, with prodromal pain or dysesthesias in the area. A history of previous leg ulcers is the strongest predictor of recurrence. [emedicine.medscape.com]
Workup
Microbiology
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Staphylococcus Aureus
Secondary infections, mostly with Staphylococcus aureus, Pseudomonas aeruginosa, Streptococcus species, and Bacteroides species are most common. [emedicine.medscape.com]
Treatment
Excluding the infection by using cultures is critical before treatment is instituted. Corticosteroids remain the treatment of choice. In patients with underlying hematologic malignancies, topical treatment is generally not effective. [emedicine.medscape.com]
This case demonstrates the importance of early recognition of urticaria associated with HSV infections in order to avoid delay in instituting antiviral treatment in GUM clinics or other settings for this disabling skin condition. [sti.bmj.com]
Given the rarity of these diseases, the treatments outlined in the abstracts are not always evidence based. The information in the abstracts isnot intended to replace existing local, regional or country specific recommendations and guidelines. [orpha.net]
Also, in recent years, effective forms of treatment for several peripheral neuropathies have been introduced, making accurate diagnosis imperative. [accessmedicine.mhmedical.com]
Prognosis
The prognosis for leukemia cutis is related directly to the prognosis for the systemic disease. Therapy is usually directed at the underlying leukemia. [emedicine.medscape.com]
Etiology
They are organised into groups, and further divided into clinical, etiological or histopathological sub-types. [orpha.net]
Warfarin also has been implicated in the etiology of calciphylaxis in patients with end-stage renal disease. It is a poorly understood disorder associated with high morbidity and mortality (60-80%). [emedicine.medscape.com]
Epidemiology
Based on clinical experience and epidemiologic studies, the causes of leg ulceration can be divided into 3 categories: reduction in blood supply to the skin (infarction being the primary cause), local edema, and minor trauma. [emedicine.medscape.com]
Prevention
The goal of treatment in idiopathic thrombocytopenic purpura is to elevate the platelet count to a level adequate to prevent major bleeding. [emedicine.medscape.com]