Cutaneous Infiltration of Waldenstrom's Macroglobulinaemia—A Two‐Case Series of a Diagnostically Challenging Presentation

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Autori principali: Monica Narula, Patrick D. Mahar, Edwin Wee Hian Tan, Naveen Singh, Stephen Lade, Henry Miles Prince, Christopher McCormack
Natura: Artículo Open Access
Pubblicazione: Wiley 2025
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author Monica Narula
Patrick D. Mahar
Edwin Wee Hian Tan
Naveen Singh
Stephen Lade
Henry Miles Prince
Christopher McCormack
author_facet Monica Narula
Patrick D. Mahar
Edwin Wee Hian Tan
Naveen Singh
Stephen Lade
Henry Miles Prince
Christopher McCormack
Monica Narula
Patrick D. Mahar
Edwin Wee Hian Tan
Naveen Singh
Stephen Lade
Henry Miles Prince
Christopher McCormack
collection Wiley Open Access
contents Cutaneous Infiltration of Waldenstrom's Macroglobulinaemia—A Two‐Case Series of a Diagnostically Challenging Presentation Monica Narula Patrick D. Mahar Edwin Wee Hian Tan Naveen Singh Stephen Lade Henry Miles Prince Christopher McCormack Australasian Journal of Dermatology ABSTRACT Background/Objectives Cutaneous manifestations of Waldenstrom's macroglobulinaemia (WM), a rare B‐cell lymphoproliferative disorder, present a diagnostic challenge. The intent of this article is to raise awareness to clinicians of a potentially overlooked condition, particularly in the context of patients with a monoclonal IgM paraproteinaemia, but also to describe the diagnostic complexity of the disease from a clinicopathological perspective. Methods We describe the clinical presentation and histopathological findings of two patients with cutaneous involvement of WM. Results Cutaneous presentations included erythematous and salmon pink plaques, which were either tender or non‐tender. Histopathology analysis in both cases demonstrated direct lymphocytic infiltration by malignant lymphocytes of WM, with case 1 demonstrating aberrant CD10 expression. Conclusion The broad cutaneous signs of WM are sparsely described in the literature, and these can even precede formal diagnosis. Ongoing clinical suspicion is warranted from both a clinical and histopathological perspective where patients present with a monoclonal IgM paraproteinemia. 10.1111/ajd.70021 http://onlinelibrary.wiley.com/termsAndConditions#vor
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spellingShingle Cutaneous Infiltration of Waldenstrom's Macroglobulinaemia—A Two‐Case Series of a Diagnostically Challenging Presentation
Monica Narula
Patrick D. Mahar
Edwin Wee Hian Tan
Naveen Singh
Stephen Lade
Henry Miles Prince
Christopher McCormack
Australasian Journal of Dermatology
Cutaneous Infiltration of Waldenstrom's Macroglobulinaemia—A Two‐Case Series of a Diagnostically Challenging Presentation Monica Narula Patrick D. Mahar Edwin Wee Hian Tan Naveen Singh Stephen Lade Henry Miles Prince Christopher McCormack Australasian Journal of Dermatology ABSTRACT Background/Objectives Cutaneous manifestations of Waldenstrom's macroglobulinaemia (WM), a rare B‐cell lymphoproliferative disorder, present a diagnostic challenge. The intent of this article is to raise awareness to clinicians of a potentially overlooked condition, particularly in the context of patients with a monoclonal IgM paraproteinaemia, but also to describe the diagnostic complexity of the disease from a clinicopathological perspective. Methods We describe the clinical presentation and histopathological findings of two patients with cutaneous involvement of WM. Results Cutaneous presentations included erythematous and salmon pink plaques, which were either tender or non‐tender. Histopathology analysis in both cases demonstrated direct lymphocytic infiltration by malignant lymphocytes of WM, with case 1 demonstrating aberrant CD10 expression. Conclusion The broad cutaneous signs of WM are sparsely described in the literature, and these can even precede formal diagnosis. Ongoing clinical suspicion is warranted from both a clinical and histopathological perspective where patients present with a monoclonal IgM paraproteinemia. 10.1111/ajd.70021 http://onlinelibrary.wiley.com/termsAndConditions#vor
title Cutaneous Infiltration of Waldenstrom's Macroglobulinaemia—A Two‐Case Series of a Diagnostically Challenging Presentation
topic Australasian Journal of Dermatology
url https://onlinelibrary.wiley.com/doi/10.1111/ajd.70021