Pequignot H, Guerre J, Pergola F, Christoforov B, Laffitte-Catta M, Sala G, Morin Y, Desligneres S
Sem Hop. 1978;54(29-32):901-7.
The authors report five cases of gastric amyloidosis in addition of the fourty three published cases. These cases was polyvisceral forms, 4 times primitive and 1 time secondary to a psoriasic rheumatism. Three times only the patients had complaints of digestive tract. Four times non specific radiologic and endoscopic signs lead to a biopsy which permits diagnosis. The biopsy of gastric mucosa must take place beside the rectal biopsy; more difficult to do, it might be more successfull because the stomach is more often infiltrated by amyloidosis than the colon.
作者报告了5例胃淀粉样变性病例,此外还有已发表的43例病例。这些病例为多脏器受累形式,4例为原发性,1例继发于银屑病性风湿病。仅3例患者有消化道症状。4例患者通过非特异性放射学和内镜检查征象进行活检从而确诊。胃黏膜活检必须与直肠活检同时进行;虽然操作更困难,但可能更成功,因为胃比结肠更常受到淀粉样变性的浸润。