A Case of Amyloidosis Presenting as Lymphadenopathy at the Porta Hepatis
The Korean Journal of Helicobacter and Upper Gastrointestinal Research
; : 209-212, 2018.
Article
ي Ko
| WPRIM
| ID: wpr-738968
المكتبة المسؤولة:
WPRO
ABSTRACT
We report a rare case of systemic amyloidosis with gastrointestinal and lymph node involvement. A 64-year-old woman was admitted to our hospital with dyspepsia and weight loss. Initial esophagogastroduodenoscopy (EGD) revealed nonspecific findings, and abdominal computed tomography showed necrotizing lymphadenopathy at the porta hepatis. Laparoscopic lymph node biopsy was performed under suspicion of tuberculous lymphadenopathy, but a definite diagnosis was not established. Follow-up EGD performed 6 months later revealed multiple telangiectasia-like lesions at the gastric body, and endoscopic biopsy revealed amyloid deposition. Through additional blood and urine protein electrophoresis, the patient was finally diagnosed with systemic amyloidosis associated with multiple myeloma. She was treated with dexamethasone, thalidomide, and bortezomib; however, she died 3 months after diagnosis because of pneumonia and multiple organ failure.
Key words
النص الكامل:
1
الفهرس:
WPRIM
الموضوع الرئيسي:
Pneumonia
/
Thalidomide
/
Biopsy
/
Dexamethasone
/
Weight Loss
/
Follow-Up Studies
/
Endoscopy, Digestive System
/
Plaque, Amyloid
/
Diagnosis
/
Dyspepsia
نوع الدراسة:
Diagnostic_studies
/
Observational_studies
/
Prognostic_studies
المحددات:
Female
/
Humans
اللغة:
Ko
مجلة:
The Korean Journal of Helicobacter and Upper Gastrointestinal Research
السنة:
2018
نوع:
Article