Evidence map›Paper›PMID 40546628›Full record

ArticleCureus2025

Plantar Dermal Deposition of Wild-Type Transthyretin Amyloid (ATTR): A Case Report of a Unique and Challenging Histopathological Manifestation of Cutaneous ATTR Amyloidosis.

Shojiro Ichimata, Akane Aikawa, Takayuki Ishii, Michiro Maruyama, Tsuneaki Yoshinaga, Mitsuto Sato, Nagaaki Katoh, Fuyuki Kametani, Masahide Yazaki, Yoshiki Sekijima and 1 more

Abstract readCase Reports
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Shojiro IchimataDepartment of Legal Medicine, University of Toyama, Toyama, JPN.
Akane AikawaDepartment of Pathology, Toyama Prefectural Central Hospital, Toyama, JPN.
Takayuki IshiiDepartment of Dermatology, Toyama Prefectural Central Hospital, Toyama, JPN.
Michiro MaruyamaDepartment of Cardiology, Toyama Prefectural Central Hospital, Toyama, JPN.
Tsuneaki YoshinagaDepartment of Medicine (Neurology and Rheumatology), Shinshu University School of Medicine, Matsumoto, JPN.
Mitsuto SatoDepartment of Medicine (Neurology and Rheumatology), Shinshu University School of Medicine, Matsumoto, JPN.
Nagaaki KatohDepartment of Medicine (Neurology and Rheumatology), Shinshu University School of Medicine, Matsumoto, JPN.
Fuyuki KametaniDepartment of Brain and Neurosciences, Tokyo Metropolitan Institute of Medical Science, Tokyo, JPN.
Masahide YazakiInstitute for Biomedical Sciences, Shinshu University, Matsumoto, JPN.
Yoshiki SekijimaDepartment of Medicine (Neurology and Rheumatology), Shinshu University School of Medicine, Matsumoto, JPN.
Shin IshizawaDepartment of Pathology, Toyama Prefectural Central Hospital, Toyama, JPN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 74-year-old man presented with a cutaneous lesion on the plantar surface of his right foot. His medical history included spinal canal stenosis and bilateral carpal tunnel syndrome. The lesion was clinically suspected to be a fibroma and was subsequently resected. Histopathological examination revealed mild acanthosis and hyperkeratosis, along with eosinophilic changes and thickening of collagen bundles at the base of the specimen. Based on the patient's medical history and the pathological findings, transthyretin amyloid (ATTR) deposition was suspected. Congo red staining confirmed the presence of amyloid deposits, which were further identified as ATTR through immunohistochemistry and proteomic analysis. Genetic testing of the transthyretin gene revealed no mutations, leading to a diagnosis of wild-type ATTR (ATTRwt) amyloidosis. Cardiac function tests showed no significant abnormalities. Given that ATTRwt deposition is frequently associated with musculoskeletal disorders, amyloid may preferentially accumulate in connective tissues subjected to repetitive mechanical stress. As observed in other musculoskeletal tissues, amyloid deposition in the plantar dermis may aid in the early detection of ATTRwt. Therefore, detailed histopathological evaluation of plantar cutaneous lesions is important, especially in older adults and/or individuals with symptoms suggestive of ATTRwt amyloidosis.

Indexed as

amyloid transthyretincollagen fiberdermismechanical stressplanta

Identifiers

PMID40546628
PMCPMC12179678

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.