Transient efficacy of double high-dose chemotherapy and autologous peripheral stem cell transplantation, immunoglobulin, thalidomide, and bortezomib in the treatment of scleromyxedema
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作者:
Ataergin, Selmin
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GATA Gulhane Fac Med, Dept Med Oncol, TR-06010 Ankara, Turkey
GATA Gulhane Fac Med, Bone Marrow Transplantat Unit, TR-06010 Ankara, TurkeyGATA Gulhane Fac Med, Dept Med Oncol, TR-06010 Ankara, Turkey
Ataergin, Selmin
[1
,2
]
Arpaci, Fikret
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GATA Gulhane Fac Med, Dept Med Oncol, TR-06010 Ankara, Turkey
GATA Gulhane Fac Med, Bone Marrow Transplantat Unit, TR-06010 Ankara, TurkeyGATA Gulhane Fac Med, Dept Med Oncol, TR-06010 Ankara, Turkey
Arpaci, Fikret
[1
,2
]
Demiriz, Murat
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GATA Gulhane Fac Med, Dept Pathol, TR-06010 Ankara, TurkeyGATA Gulhane Fac Med, Dept Med Oncol, TR-06010 Ankara, Turkey
Demiriz, Murat
[3
]
Ozet, Ahmet
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GATA Gulhane Fac Med, Dept Med Oncol, TR-06010 Ankara, Turkey
GATA Gulhane Fac Med, Bone Marrow Transplantat Unit, TR-06010 Ankara, TurkeyGATA Gulhane Fac Med, Dept Med Oncol, TR-06010 Ankara, Turkey
Ozet, Ahmet
[1
,2
]
机构:
[1] GATA Gulhane Fac Med, Dept Med Oncol, TR-06010 Ankara, Turkey
[2] GATA Gulhane Fac Med, Bone Marrow Transplantat Unit, TR-06010 Ankara, Turkey
[3] GATA Gulhane Fac Med, Dept Pathol, TR-06010 Ankara, Turkey
Scleromyxedema is a rare disorder characterized by mucin deposits in the dermis and monoclonal gammopathy. No definitive treatment of this condition has been described to date. We present the case of a 38-year-old male patient with scleromyxedema who underwent double consecutive autologous peripheral stem cell transplantations and received immunoglobulin, thalidomide, and bortezomib. This resulted in considerable clinical and pathologic amelioration of the patient's condition. However, 3 years after the second transplant, the patient relapsed and manifested the same skin lesions evident at his initial presentation.