The paper reports one case of primary cutaneous amyloidosis (PCA) treated by tapping with plum-blossom needle combined with sulfur ointment and local irradiation. PCA in this case was manifested as generalized erythema

papules

plaques

lichenification

and severe pruritus. In treatment

tapping with plum-blossom needle was delivered at typical lesions to induce local congestion

redness

and minimal bleeding. After cleaned with sterile gauze for 10 s

25% sulfur ointment was evenly applied

followed by local irradiation with a TDP lamp for 15 min. This session was repeated twice a week. In 1 month of treatment

the lesions turned flat and the skin was soft as the normal

with pigmentation and mild pruritus left. In 3 months of follow-up

no papules recurred

and mild pruritus presented occasionally.