Primary localized cutaneous amyloidosis (PLCA) Overview Primary localized cutaneous amyloidosis (PLCA) is a chronic skin condition where abnormal protein clumps (amyloids) build up in the upper layers of the skin without affecting internal organs. It typically causes itchy spots, rough bumps, or dark patches on the arms, legs, or back Types of PLCA Lichen amyloidosis: Very itchy, thickened, brownish bumps, usually found on the shins. Macular amyloidosis: Flat, grayish-brown or dark spots, often with a rippled pattern on the upper back. Biphasic amyloidosis: A mix of both lichen and macular skin changes.Nodular amyloidosis: Rare, firm pink or brown lumps that form deeper in the skin. Symptoms Lichen Amyloidosis (Lichenoid) Small, firm, raised bumps (papules) that are red to dark brown Bumps join together into thick, rough, scaly plaques with a bumpy surface Common on the shins, lower legs, and outer arms Severe, intense itching that often triggers more scratching and thickening Macula...
Action myoclonus-renal failure syndrome Overview Action myoclonus-renal failure syndrome (AMRF) is a rare epilepsy syndrome characterized by progressive myoclonus epilepsy in association with primary glomerular disease. Patients present with neurologic symptoms (including tremor, action myoclonus, tonic-clonic seizures, later ataxia and dysarthria) that may precede, occur simultaneously or be followed by renal manifestations including proteinuria that progresses to nephrotic syndrome and end-stage renal disease. In some patients, sensorimotor peripheral neuropathy, sensorineural hearing loss and dilated cardiomyopathy are associated symptoms. Symptoms Neurological Symptoms Action Myoclonus: S udden, brief, involuntary muscle jerks in the face, torso, and limbs that worsen when attempting voluntary movement. Tremors: Fine or rhythmic shaking in the hands, fingers, and sometimes the head or tongue. Seizures: Generalized tonic-clonic or myoclonic seizures.Ataxia: Loss of balance and unco...