Primary amyloidosis mimicking Crohn's disease: a case report

被引:0
|
作者
Wang, Ziwei [1 ]
Huang, Chaoyang [2 ]
Ji, Feng [3 ]
机构
[1] Zhejiang Univ, Sch Med, Affiliated Hosp 1, Dept Internal Med, Hangzhou 310003, Zhejiang, Peoples R China
[2] Zhejiang Univ, Sch Med, Affiliated Hosp 1, Dept Cardiol, Hangzhou 310003, Zhejiang, Peoples R China
[3] Zhejiang Univ, Sch Med, Affiliated Hosp 1, Dept Digest Dis, Hangzhou 310003, Zhejiang, Peoples R China
关键词
Primary amyloidosis; diagnosis; Crohn's disease; AL AMYLOIDOSIS; HEART;
D O I
暂无
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
Amyloidosis is an uncommon disease that results from the extracellular deposition of abnormal fibrillary protein. This paper reports a case of primary amyloidosis with predominant involvement of the gastrointestinal tract and heart as a mimicker of Crohn's disease in a sixty-seven years old man admitted with repeated diarrhea and fatigue. This patient poorly responded to 5-aminosalicylic acid and quickly developed dyspnea and hypotension. The further laboratory test revealed a monoclonal protein detected by serum protein electrophoresis. Biopsy of abdominal wall fat pad revealed amyloid substance deposited and positive Congo red staining, which was diagnosed as primary amyloidosis.
引用
收藏
页码:16137 / 16139
页数:3
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