Maza Itay, Vlodavsky Evgene, Eliakim Rami A
Itay Maza, Rami A Eliakim, Department of Gastroenterology, Rambam Health Care Campus, Technion School of Medicine, Haifa 31096, Israel.
World J Gastrointest Endosc. 2010 Jan 16;2(1):44-6. doi: 10.4253/wjge.v2.i1.44.
Amyloidosis of the gastrointestinal tract is a rare disease that presents with common, nonspecific signs and symptoms. It may affect any part of the gastrointestinal tract from mouth to anus. The clinical and endoscopic features are diverse and may mimic other diseases, such as inflammatory bowel disease, malignancy, ischemic colitis and, at times, collagenous colitis. We describe an uncommon case of rectal bleeding and anemia with polypoid lesions and ulcerations in the colon, as the presenting symptom of AL amyloidosis and light chain multiple myeloma.
胃肠道淀粉样变性是一种罕见疾病，表现为常见的非特异性体征和症状。它可能影响从口腔到肛门的胃肠道任何部位。其临床和内镜特征多样，可能与其他疾病相似，如炎症性肠病、恶性肿瘤、缺血性结肠炎，有时还与胶原性结肠炎相似。我们描述了一例罕见病例，以直肠出血、贫血以及结肠息肉样病变和溃疡为表现症状，诊断为AL型淀粉样变性和轻链多发性骨髓瘤。
