title: Widespread scleredema accompanied with a monoclonal gammopathy in a patient with advanced ankylosing spondylitis.
abstract: Scleredema is a rare cutaneous mucinosis characterized by chronic diffuse induration of the skin, and it is occasionally associated with a monoclonal gammopathy (MG). Ankylosing spondylitis (AS) is noted to be another, chronic systemic inflammatory disorder of the axial skeleton that may accompany the MG. However, patients with scleredema and AS accompanied with a MG have not been reported in the literature. We here report a 40-yr-old man with scleredema and advanced AS accompanied with a MG of IgA-kappa protein. Widespread, long-standing scleredema has been developed over 10 yrs after the initial manifestation of AS. It is uncertain whether the coexistence of scleredema and AS is more than coincidental.
authors.affiliation: Division of Rheumatology, Department of Internal Medicine, Dankook University Hospital, Cheonan, Korea. hanks22@dankook.ac.kr
authors.forename: Hyun Kyu
authors.initials: HK
authors.lastname: Chang
authors.forename: You Chan
authors.initials: YC
authors.lastname: Kim
authors.forename: Bum Sun
authors.initials: BS
authors.lastname: Kwon
mesh_terms: D000328:Adult; D003094:Collagen / Q000378:metabolism; D006801:Humans; D007145:Immunoglobulin kappa-Chains / Q000737:chemistry; D007249:Inflammation; D008159:Lumbar Vertebrae / Q000000981:diagnostic imaging; D008297:Male; D009077:Mucins / Q000378:metabolism; D010265:Paraproteinemias / Q000150:complications* / Q000175:diagnosis; D011859:Radiography; D012592:Scleredema Adultorum / Q000150:complications* / Q000175:diagnosis; D012867:Skin / Q000473:pathology; D013167:Spondylitis, Ankylosing / Q000150:complications* / Q000175:diagnosis
chemical_list: D007145:Immunoglobulin kappa-Chains; D009077:Mucins; D003094:Collagen