Answer To "what Is Your Diagnosis?" On P.198

Authors : Ayşe Tülin Mansur

Pages : 236-237

View : 30 | Download : 15

Publication Date : 2014-09-01

Article Type : Other

Abstract :seen on the pretibial surfaces, a clinical picture highly different from ACM 4 . The clinical features of nodu- lar amyloidosis with waxy, smooth papules, nodules or plaques on the face, trunk, or genitalia are also characteristic enough to distinguish it from ACM 2 . Acral persistent papular mucinosis may be confused with ACM, because of the presence of multiple, skin coloured papules localized to the hands and wrists. Alcian blue staining is a definite marker for its diag- nosis 5 . Disorders of porphyrin metabolism may be considered in the differential diagnosis of ACM, due to the involvement of sun-exposed areas 1 . However, in our patient lack of true blisters, milia, scarring, and the negative urine test in addition to positive staining with Congo red and amyloid P eliminated porphyria
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