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Background Plasma cell cheilitis is an unusual benign plasma cell proliferative disease of an unknown etiology that typically presents on the lip. Objective The aim of this study was to investigate the clinicopathological characteristics of 13 cases of plasma cell cheilitis. Methods The present study investigated the clinical manifestations, treatment modalities, and outcome of 13 patients diagnosed with plasma cell cheilitis from 2011 to 2016 at Kangdong Sacred Heart Hospital and Hallym University Sacred Heart Hospital. Biopsy specimens of the all cases were evaluated using conventional hematoxylin and eosin staining with kappa and lambda immunoglobulin light chain immunohistochemistry. Results The age of the patients ranged from 39 to 86 years (mean, 64.7 years), with male predominance. Histopathologically, 61.5% and 38.5% of patients showed band-like and pan dermal plasmacytic infiltrates, respectively. Eosinophilic infiltration was noted in 69.2% of patients. All cases showed both kappa and lambda immunoglobulin light chain reactivities, and kappa predominance was confirmed in 9 patients (69.2%). A majority of the patients was treated with local therapy, such as intralesional steroid injection with topical tacrolimus. Among the 13 patients, plasma cell cheilitis completely resolved, partially resolved, and recurred in 3 (23.1%), 5 (38.5%), and 5 patients (38.5%), respectively. Conclusion Plasma cell cheilitis presented as erosive edematous circumscribed patches or plaques affecting mainly the lower lip of elderly male patients. The majority of histopathology cases showed characteristic plasma cell aggregation on the upper dermis that was immunopositive for immunoglobulin light chain, with kappa predominance.

Made available in DSpace on 2014-06-11T19:33:24Z (GMT). No. of bitstreams: 0 Previous issue date: 2011-06-20Bitstream added on 2014-06-13T20:24:54Z : No. of bitstreams: 1 carvalho_lfcs_dr_sjc.pdf: 1285800 bytes, checksum: e974f0ebe5242c6acaeec015aadb3843 (MD5) Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP) A queilite actínica (QA) é uma lesão considerada potencialmente cancerizável, localizada principalmente em lábio inferior e causada pela exposição crônica à radiação UV. A Espectroscopia FT-IR fornece informações moleculares através de fenômenos ópticos observado pela vibração de suas moléculas. Tem sido empregada em estudos biológicos para a caracterização de alterações neoplásicas. No entanto, são escassos os estudos que envolvam processos potencialmente cancerizáveis. Objetivou-se avaliar QAs através da espectroscopia micro FT-IR com relação aos seus aspectos moleculares para região de fingerprint (900-1800 cm-1) e altos números de onda (2800-3600 cm-1), e ainda verificar a análise dos componentes principais (PCA) e regressão logística binária (RLB) como modelo de diagnóstico. Foram avaliadas 14 amostras de QA e 14 amostras de mucosas normal (MN), obtendo-se 5 espectros por amostra, totalizando 140 espectros avaliados (70 de cada grupo). Os resultados demonstrados pela análise dos componentes principais revelaram pelo gráfico de scree plot que os dez primeiros PCs deveriam ser utilizados na análise. As maiores variações observadas pelo gráfico de loading plot relacionaram-se aos modos vibracionais do colágeno, ácidos nucléicos, lipídios e água confinada. O modelo de regressão logística binária mostrou 80,6% de pares concordantes para região de fingerprint e 81,7% de pares concordantes para a região de altos números de onda. Concluiu-se que a espectroscopia micro FT-IR provê características moleculares importantes das 19 amostras de QA, evidenciadas tanto na região de fingerprint como na de altos números de onda. Actinic cheilitis (AC) is a potentially precancerous lesion, located primarily in lower lip caused by chronic exposure to UV radiation. The FT-IR spectroscopy provides molecular information through optical properties observed by the vibration of its molecules. This technique has been used in biological studies for characterization of neoplastic tissues. However, there are few studies involving potentially cancerous processes. This study aimed to evaluate molecular changes on AC through micro FT-IR spectroscopy in fingerprint (900-1800 cm-1) and high wave numbers (2800-3600 cm- 1) region, and also to verify the principal components analysis (PCA) and binary logistic regression (BLR) as a model of diagnosis. We evaluated 14 samples of AC and 14 samples of normal mucosa (NM), resulting in 5 spectra per sample, totalling 140 spectra analyzed (70 from each group). The results demonstrated by PCA revealed by scree plot graph showed that the first ten principal components (PCs) should be used in the analysis. The largest variations observed by loading graph plot related to the vibrational modes of collagen, nucleic acids, lipids and confined water. The BLR model showed 80.6% of concordant pairs for the fingerprint region and 81.7% of concordant pairs of high wave numbers region. It was concluded that the micro FT-IR spectroscopy provides important molecular features of AC samples, evidenced both in the fingerprint and in the highwave numbers region.

Ectodermal dysplasia/skin fragility syndrome (ED-SFS) is a newly described autosomal recessive disorder characterized by skin fragility and blistering, palmoplantar keratoderma, abnormal hair growth, nail dystrophy, and occasionally defective sweating. It results from mutations in the PKP1 gene encoding plakophilin 1 (PKP1), which is an important component of stratifying epithelial desmosomes and a nuclear component of many cell types. Only 12 cases of this rare genodermatosis have been reported so far. We present an unusual case of ED-SFS in a 12-year boy who was normal at birth but subsequently developed skin fragility, hair and nail deformities, abnormal dentition, palmoplantar keratoderma, and abnormal sweating but no systemic abnormality.