Clinical case of observation of patient with primary systemic amyloidosis
https://doi.org/10.33667/2078-5631-2020-2-46-48
Abstract
Amyloidosis combines diseases that are characterized by extracellular deposition of a specific insoluble fibrillar amyloid protein. The prevalence of amyloidosis is an average of 10 cases per 100 thousand people. The clinic of the disease is polymorphic and depends on the organ with amyloid deposition. The article discusses the clinical case of systemic amyloidosis with damage to the stomach, liver and other organs. The differential diagnosis was carried out with tuberculosis, cancer, cirrhosis. The final diagnosis was made by histological examination of biopsy samples of the liver and stomach. Difficulties in diagnosing primary amyloidosis are due to the attrition and non‑specificity of the clinical picture of the disease. Amyloidosis is diagnosed based on organ biopsy data.
About the Authors
Yu. N. FedulaevRussian Federation
Moscow
N. V. Khabazov
Russian Federation
Moscow
A. Yu. Chuprakova
Russian Federation
Moscow
M. V. Ezhikova
Russian Federation
Moscow
A. A. Kurshin
Russian Federation
Moscow
O. V. Limonchikova
Russian Federation
Moscow
References
1. Tan S. Y., Pepys M. B., Hawkins P. N. Treatment of amyloidosis // Am. J. Kidney Dis. 1995. Vol. 26. N 2. P. 267–285.
2. Козловская Л. В., Рамеев В. В., Саркисова И. А. Амилоидоз у пожилых // Клиническая медицина. 2005. Т. 83. № 6. С. 12–20.
3. Сторожаков Г. И., Чукаева И. И., Александров А. А. Поликлиническая терапия. Учебник // Москва, 2011. ГЭОТАР-Медиа (2-е изд., перераб. и доп.) – 636 c.
4. Рамеев В. В., Козловская Л. В., Малинина Е. А. и др. Определение циркулирующих белков-предшественников амилоида в диагностике и мониторировании течения системного амилоидоза // Клиническая нефрология. 2009. № 2. С. 55–62.
5. Gertz M. A., Buadi F. K., Hayman S. R. Treatment of immunoglobulin light chain (primary or AL) amyloidosis // Oncol. 2011. Vol. 25. N 7. P. 620–626.
6. Орлова Н. В., Гундорова Л. В., Кривоносов В. В. Клинический случай: первичный амилоидоз с преимущественным поражением сердца // Лечебное дело. 2013. № 3. С. 85–90.
Review
For citations:
Fedulaev Yu.N., Khabazov N.V., Chuprakova A.Yu., Ezhikova M.V., Kurshin A.A., Limonchikova O.V. Clinical case of observation of patient with primary systemic amyloidosis. Medical alphabet. 2020;(2):46-48. (In Russ.) https://doi.org/10.33667/2078-5631-2020-2-46-48