2008
DOI: 10.1097/rhu.0b013e318163815f
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Secondary Cutaneous Nodular AA Amyloidosis in a Patient With Primary Sjögren Syndrome and Celiac Disease

Abstract: We describe a 62-year-old female with primary Sjögren syndrome and myopathy, severe osteoporosis, and vertebral fractures that were attributed to celiac disease. A year after the diagnosis, she developed a skin nodule on the extensor surface of her right elbow, which was due to an amyloid deposit of AA type. Amyloidosis, although relatively common in some chronic inflammatory diseases, has been uncommon in Sjögren syndrome or celiac disease. Visceral amyloid was not found in this patient.

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Cited by 20 publications
(10 citation statements)
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“…Although in none of these cases has been effectively demonstrated a pathogenetic link between the diseases, some of these associations are more common. Particularly lupus erythematosus [113], dermatomyositis [114], vitiligo [115], Behçet disease [116], linear IgA bullous dermatosis [117], and also both skin and mucosal manifestations of lichen [118, 119] are the most frequently reported, while prurigo nodularis [120], erythema nodosum [121], necrolytic migratory erythema [122], porphyria [123], cutaneous amyloidosis [124], pityriasis rubra pilaris [125], erythroderma [126], partial lipodystrophy [127], generalized acquired cutis laxa [128], ichthyosis [129], atypical mole syndrome, and congenital giant nevus [130] result very rare.…”
Section: Other Cd-associated Skin Conditionsmentioning
confidence: 99%
“…Although in none of these cases has been effectively demonstrated a pathogenetic link between the diseases, some of these associations are more common. Particularly lupus erythematosus [113], dermatomyositis [114], vitiligo [115], Behçet disease [116], linear IgA bullous dermatosis [117], and also both skin and mucosal manifestations of lichen [118, 119] are the most frequently reported, while prurigo nodularis [120], erythema nodosum [121], necrolytic migratory erythema [122], porphyria [123], cutaneous amyloidosis [124], pityriasis rubra pilaris [125], erythroderma [126], partial lipodystrophy [127], generalized acquired cutis laxa [128], ichthyosis [129], atypical mole syndrome, and congenital giant nevus [130] result very rare.…”
Section: Other Cd-associated Skin Conditionsmentioning
confidence: 99%
“…Secondary cutaneous amyloidosis is an entity of systemic amyloidosis in which amyloid can be secondarily located in the skin and others organs. In the case of the secondary cutaneous amyloidosis, the amyloid protein A (AA) is involved (Katsikas et al, 2008). Also, amyloid light chain has been involved in several cases of systemic amyloidosis in the skin (Feito-Rodriguez et al, 2008).…”
Section: Cutaneous and Neurodegenerative Amyloidosismentioning
confidence: 99%
“…The hair follicle, for example, is both target for and source of immunomodulatory stress mediators, similar to the hypothalamus–pituitary–adrenal axis (66,68,74). It is also well known that certain proteins are altered by inflammation, thus leading to the formation of amyloid deposits (75–79) in brain, skin and other organs (38,80). In skin, this type of amyloid is most often referred to as AA‐amyloid, because serum amyloid A (SAA) acts as the precursor protein (11).…”
Section: Brain–skin Axismentioning
confidence: 99%