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淀粉样变性的不典型表现。

Unusual presentation in amyloidosis.

作者信息

Mahmoud Ines, Rouached Leila, Chammakhi Meriem, Ben Tekaya Aicha, Bouden Selma, Ben Miled Aycha, Tekaya Rawdha, Saidane Olfa, Abdelmoula Leila

机构信息

Department of Rheumatology Charles Nicolle Hospital Tunis Tunisia.

Department of Radiology Charles Nicolle Hospital Tunis Tunisia.

出版信息

Clin Case Rep. 2022 Aug 3;10(8):e6120. doi: 10.1002/ccr3.6120. eCollection 2022 Aug.

DOI:10.1002/ccr3.6120
PMID:35937012
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9347692/
Abstract

We report a case of osteolytic polyarthritis and atlanto-axial lesion revealing multiple myeloma-associated amyloid arthropathy in a 56-year-old man. Only histological exam of the salivary gland biopsy demonstrating the presence of amyloid deposits stained with congo red could confirm the diagnosis.

摘要

我们报告了一例56岁男性患者，其溶骨性多关节炎和寰枢椎病变提示为多发性骨髓瘤相关淀粉样关节病。只有通过刚果红染色显示淀粉样沉积物存在的唾液腺活检组织学检查才能确诊。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5cf/9347692/871a1c29bd6d/CCR3-10-e6120-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5cf/9347692/ad2b9e87100f/CCR3-10-e6120-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5cf/9347692/871a1c29bd6d/CCR3-10-e6120-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5cf/9347692/ad2b9e87100f/CCR3-10-e6120-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5cf/9347692/871a1c29bd6d/CCR3-10-e6120-g002.jpg

相似文献

1
Unusual presentation in amyloidosis.淀粉样变性的不典型表现。
Clin Case Rep. 2022 Aug 3;10(8):e6120. doi: 10.1002/ccr3.6120. eCollection 2022 Aug.
2
Radiologic Findings in Polyarticular Amyloid Arthropathy and Myopathy in Multiple Myeloma: A Case Report.多发性骨髓瘤多关节淀粉样变关节病和肌病的放射学表现：病例报告
Am J Case Rep. 2018 Nov 24;19:1398-1404. doi: 10.12659/AJCR.911212.
3
Case Report of 59-Year-Old Woman with Bilateral Upper Limb Musculoskeletal Amyloid, Initially Diagnosed as Rheumatoid Arthritis.59 岁女性双侧上肢肌骨骼淀粉样变病例报告，最初诊断为类风湿关节炎。
Am J Case Rep. 2023 Jan 27;24:e938582. doi: 10.12659/AJCR.938582.
4
Amyloid arthropathy in the course of multiple myeloma.多发性骨髓瘤病程中的淀粉样关节病。
J Rheumatol. 2002 Jul;29(7):1473-81.
5
[Light chain multiple myeloma revealed by an amyloid arthropathy. A report of two cases].
Rev Med Interne. 2004 May;25(5):390-4. doi: 10.1016/j.revmed.2004.02.007.
6
Amyloid arthropathy revealed by RS3PE syndrome.RS3PE综合征所揭示的淀粉样关节病。
Joint Bone Spine. 2000;67(5):475-7.
7
[The value of biopsy of the accessory labial salivary glands for the diagnosis of amylosis].[唇腺活检在淀粉样变性诊断中的价值]
Rev Stomatol Chir Maxillofac. 1992;93(1):54-7.
8
Production of monoclonal antibody against amyloid fibril protein and its immunohistochemical application.抗淀粉样原纤维蛋白单克隆抗体的制备及其免疫组织化学应用。
Appl Pathol. 1985;3(1-2):39-54.
9
Multiple myeloma presenting with amyloid arthropathy as the first manifestation: Two case reports.以淀粉样关节病为首发表现的多发性骨髓瘤：两例病例报告。
World J Clin Cases. 2022 Dec 16;10(35):13028-13037. doi: 10.12998/wjcc.v10.i35.13028.
10
Diagnostic approach to cardiac amyloidosis.心脏淀粉样变性的诊断方法
Kobe J Med Sci. 2014 Jun 18;60(1):E5-E11.

本文引用的文献

1
Minimally invasive minor salivary gland biopsy for the diagnosis of amyloidosis in a rheumatology clinic.在风湿病诊所进行微创小唾液腺活检以诊断淀粉样变性。
ISRN Rheumatol. 2014 Feb 23;2014:354648. doi: 10.1155/2014/354648. eCollection 2014.
2
Amyloid arthropathy associated with multiple myeloma: a systematic analysis of 101 reported cases.与多发性骨髓瘤相关的淀粉样变关节病：101 例报告病例的系统分析。
Semin Arthritis Rheum. 2013 Dec;43(3):405-12. doi: 10.1016/j.semarthrit.2013.07.004. Epub 2013 Aug 28.
3
Primary cervical amyloidoma: a case report and review of the literature.
原发性颈淀粉样变性瘤：病例报告及文献复习。
Spine J. 2013 Oct;13(10):e1-7. doi: 10.1016/j.spinee.2013.04.003. Epub 2013 May 10.
4
Osteo-articular manifestations of amyloidosis.淀粉样变性的骨关节表现。
Best Pract Res Clin Rheumatol. 2012 Aug;26(4):459-75. doi: 10.1016/j.berh.2012.07.003.
5
Ultrasound findings in AL musculoskeletal amyloidosis.AL型肌肉骨骼淀粉样变性的超声表现
Med Ultrason. 2011 Mar;13(1):76-9.
6
Amyloid arthropathy mimicking seronegative rheumatoid arthritis in multiple myeloma: case reports and review of the literature.淀粉样变关节病模仿多发性骨髓瘤中的血清阴性类风湿关节炎：病例报告和文献复习。
Amyloid. 2009 Dec;16(4):226-31. doi: 10.3109/13506120903421785.
7
A rapidly destructive amyloid arthropathy associated with myeloma.一种与骨髓瘤相关的迅速破坏性淀粉样关节病。
J Clin Rheumatol. 2000 Jun;6(3):142-5. doi: 10.1097/00124743-200006000-00005.
8
Systemic AL amyloidosis mimicking rheumatoid arthritis.酷似类风湿关节炎的系统性AL淀粉样变性
Intern Med. 2008;47(12):1133-8. doi: 10.2169/internalmedicine.47.0961. Epub 2008 Jun 16.
9
Bone involvement in patients with systemic AL amyloidosis mimics lytic myeloma bone disease.
Haematologica. 2008 Jun;93(6):955-6. doi: 10.3324/haematol.12497.
10
Primary amyloidoma of the axis and acute spinal cord compression: a case report.枢椎原发性淀粉样瘤与急性脊髓压迫症：一例报告
Eur Spine J. 2004 May;13(3):244-8. doi: 10.1007/s00586-003-0589-9. Epub 2004 Mar 16.