City of Hope, 1500 East Duarte Road, Duarte, CA 91010, USA.
Department of Clinical Therapeutics, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece.
Hematol Oncol Clin North Am. 2020 Dec;34(6S):e1-e13. doi: 10.1016/j.hoc.2020.11.001. Epub 2020 Dec 31.
The organs affected most commonly by AL amyloidosis are the kidneys and heart, however, liver and gastrointestinal (GI) tract are also commonly affected. Symptoms of GI amyloidosis often mimic those of other GI disorders; having a keen awareness of the need to evaluate for amyloidosis is critical in avoiding delay in diagnosis and intervention. GI and liver involvement is associated with significant complications, and challenges in symptomatic management. As with all AL-related organ disease, early systemic treatment can prevent progression of tissue damage and improve outcomes.
AL 淀粉样变最常累及的器官是肾脏和心脏,但肝脏和胃肠道 (GI) 也常受影响。GI 淀粉样变的症状常与其他 GI 疾病相似;因此,对于淀粉样变的评估,需要有敏锐的认识,这对于避免诊断和干预的延误至关重要。GI 和肝脏受累与严重并发症和症状管理方面的挑战有关。与所有 AL 相关的器官疾病一样,早期全身治疗可以预防组织损伤的进展并改善预后。