继发性淀粉样变性累及食管，酷似贲门失弛缓症。

Esophageal involvement in secondary amyloidosis mimicking achalasia.

作者信息

Estrada C A, Lewandowski C, Schubert T T, Dorman P J

机构信息

Department of Internal Medicine, Henry Ford Hospital, Detroit, MI 48202.

出版信息

J Clin Gastroenterol. 1990 Aug;12(4):447-50. doi: 10.1097/00004836-199008000-00019.

DOI:10.1097/00004836-199008000-00019

PMID:2398252

Abstract

Amyloidosis is usually considered as a cause of motor disorders of the esophagus, including achalasia. However, most patients with amyloid in the esophagus are AL-type amyloid. We report what we believe is the fourth case of secondary amyloidosis (AA-type) resulting from rheumatoid arthritis. Clinically and radiologically the picture was that of achalasia.

摘要

淀粉样变性通常被认为是食管运动障碍的一个病因，包括贲门失弛缓症。然而，大多数食管有淀粉样物质沉积的患者为AL型淀粉样变性。我们报告了我们认为是由类风湿关节炎导致的继发性淀粉样变性（AA型）的第四例病例。临床和放射学表现为贲门失弛缓症。