Al amyloidosis skin changes Images
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AL-type amyloidosis: lingua plicata in macroglossia and systemic AL-type amyloidosis.

AL-amyloidosis in smoldering myeloma. 77-year-old patient with recurrent ecchymosis of the periorbital region, clinically corresponding to a hematoma of the eyeglasses. These characteristic skin lesions are called "raccoon sign". Further purple skin lesions are found in the neck and retroauricularly. The bone marrow biopsy showed a smoldering myeloma (infiltration of plasma cells at 15%).