Vulvar paraneoplastic amyloidosis with the appearance of a vulvar carcinoma,

Nodular cutaneous amyloidosis of the vulva is a rare phenomenon. We describe a patient with localized nodular lesions on the vulva that mimicked kissing ulcers such as are seen with vulvar carcinoma. These lesions were a result of multiple myeloma with subsequent primary systemic amyloidosis. The patient died of cardiac and renal decompensation 2 months after diagnosis. (Am J Obstet Gynecol 1999;180:1041-4.)