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. 2008 Dec 5;25(4):195-7.

Scleredema-associated IgA myeloma with myelofibrosis in a young adult: a case report

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  • PMID: 27264923

Scleredema-associated IgA myeloma with myelofibrosis in a young adult: a case report

Seema Rao et al. Turk J Haematol. .

Abstract

Scleredema of Buschke is a rare fibromucinous connective tissue disorder of unknown etiology. It is often associated with a benign monoclonal gammopathy and rarely with myelomatosis. We report a case of scleredema-associated IgA myeloma with myelofibrosis in a 24-year-old male patient. Scleredema generally affects young adults and onset of associated monoclonal gammopathy is at a younger age than when not associated with scleredema. However, presentation at a much younger age (24 years in our case) is very unusual. Although mucin deposition in the bone marrow has been reported in scleredema, to the best of our knowledge, myelofibrosis has not been reported.

Buschke sklereması nedeni bilinmeyen az görülen bir fibromüsinöz bağ dokusu hastalığıdır. Genellikle iyi huylu bir monoklonal gamopati ile; nadiren de miyelomatoz ile birlikte olur. Biz 24 yaşında bir erkek hastada görülen miyelofibroz ve siklerama ile birlikte olan immun globulin A miyeloma olgusunu sunuyoruz. Sklerama genellikle genç erişkenlerde görülmekte olup monoklonal gamapati ile birlikte olanlarda hastalığın başlangıç yaşı skleredama ile olmayanlara göre daha erkendir. Ancak hastamızda olduğu gibi 24 yaşında ortaya çıkması olağan dışıdır. Kemik iliğindeki musin birikimli skleredama bildirilmesine rağmen bildiğimiz kadarı ile miyelofibrozis henüz bildirilmemiştir.

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