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%).
Amyloidosis systemic of the Al type. after banal efforts or local trauma completely symptomless, permanently persistent purpura. on intensive examination a flat, symptomless discoloration (amyloid deposits) of the anterior neck area is noticeable. known plasmocytoma.
AL-amyloidosis in smoldering myeloma: In the 77-year-old patient, this macroglossia with lingua plicata, which has been steadily increasing for 1 year, is clinically present with recurrent flat ecchymoses of the periorbital region, corresponding to a hematoma of the eyeglasses. Further purple skin changes are present in the neck and retroauricularly. The bone marrow biopsy revealed smoldering myeloma (degree of infiltration of plasma cells at 15%).
Amyloidosis systemic: flat light brown, symptomless spots and plaques on both backs of the hands; recurrent fresh bleeding in the case of banal trauma.
Amyloidosis systemic of the Al type: in relapses, more prominent after physical exertion, completely asymptomatic, permanently persistent purpura on both lower legs in a 65-year-old. Known plasmocytoma.
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