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A purple plaque in a patient with systemic sclerosis

Ramyead, S; Denton, CP; Orteu, CH; Swale, V; Mayor-Jerez, J; Gardette, E; (2023) A purple plaque in a patient with systemic sclerosis. Journal of Scleroderma and Related Disorders , 8 (2) NP1-NP3. 10.1177/23971983231152342. Green open access

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Abstract

We present the case of a 43-year old woman with anti-U3 ribonucleoprotein antibody-positive systemic sclerosis presenting with an enlarging purple plaque on the left upper arm. The skin was not sclerotic; however, there had been a cluster of long-standing telangiectases preceding the plaque. Histology and immunohistochemistry confirmed an angiosarcoma. There are five reported cases in the literature about angiosarcoma arising in the skin of patients with systemic sclerosis; however, to our knowledge, this is the first to have arisen from non-sclerotic skin. We would urge clinicians to adopt a high index of suspicion for atypical vascular tumours presenting in patients with systemic sclerosis.

Type: Article
Title: A purple plaque in a patient with systemic sclerosis
Open access status: An open access version is available from UCL Discovery
DOI: 10.1177/23971983231152342
Publisher version: https://doi.org/10.1177/23971983231152342
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher's terms and conditions.
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Medicine
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Medicine > Inflammation
URI: https://discovery.ucl.ac.uk/id/eprint/10165128
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