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以腰骶神经根丛病为表现的孤立性淀粉样变性:两例病例描述及发病机制综述

Isolated amyloidosis presenting with lumbosacral radiculoplexopathy: description of two cases and pathogenic review.

作者信息

Ladha Shafeeq S, Dyck P James B, Spinner Robert J, Perez Domingo G, Zeldenrust Steven R, Amrami Kimberly K, Solomon Alan, Klein Christopher J

机构信息

Department of Neurology, Mayo Clinic College of Medicine, Rochester, MN 55905, USA.

出版信息

J Peripher Nerv Syst. 2006 Dec;11(4):346-52. doi: 10.1111/j.1529-8027.2006.00107.x.

Abstract

In this study, we present two cases of infiltrative, localized amyloidosis involving lumbosacral root and plexus, e.g., isolated amyloidomas. Rare and poorly understood amyloidomas may occur in both neurologic and non-neurologic tissues. The described cases emphasize potential for localized peripheral amyloidomas: (1) potential for associated lambda light chain lymphoplasmacytic lymphoma association; (2) e isolated amyloidosis without evidence for systemic plasma cell dyscrasia; (3) features suggestive of potential pathogenesis; and (4) discussion of treatment options including immunotherapy and resection. The limited literature and experience among other cases is described.

摘要

在本研究中,我们报告了两例浸润性局限性淀粉样变性病例,病变累及腰骶神经根和神经丛,即孤立性淀粉样瘤。罕见且了解甚少的淀粉样瘤可发生于神经组织和非神经组织。所描述的病例强调了局限性外周淀粉样瘤的可能性:(1)与λ轻链淋巴浆细胞淋巴瘤相关的可能性;(2)无系统性浆细胞异常证据的孤立性淀粉样变性;(3)提示潜在发病机制的特征;(4)包括免疫治疗和手术切除在内的治疗选择讨论。还描述了其他病例的有限文献和经验。

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