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以消化道出血为表现的假性肿瘤性淀粉样变性

Pseudotumoral Amyloidosis Presentation With Upper Digestive Bleeding.

作者信息

Gomes Igor Logetto Caetité, Carlos Alexandre de Sousa, Kum Angelo So Taa, Bestetti Alexandre Moraes, de Moura Eduardo Guimarães Hourneaux

机构信息

Gastroenterology, Faculdade de Medicina da Universidade de São Paulo, Sao Paulo, BRA.

出版信息

Cureus. 2023 May 16;15(5):e39094. doi: 10.7759/cureus.39094. eCollection 2023 May.

Abstract

is a condition related to the extracellular deposition of abnormal fibrillar proteins. Gastric involvement may present as a systemic or localized form of the disease. The endoscopic presentation can vary from nodular, ulcerated, or infiltrative lesions. Clinical manifestations are nonspecific, including hyporexia, nausea, vomiting, weight loss, epigastralgia, and abdominal discomfort. Thus, amyloidosis can clinically and endoscopically mimic other diseases, such as neoplasms, syphilis, tuberculosis, and Crohn's disease, requiring a high suspicion. When it manifests with gastrointestinal bleeding, it most commonly occurs as intermittent melena. This report aims to present an unusual case of a patient with upper gastrointestinal bleeding exteriorized through melena secondary to amyloidosis with gastric involvement.

摘要

是一种与异常纤维状蛋白的细胞外沉积相关的病症。胃部受累可能表现为该疾病的全身性或局限性形式。内镜表现可从结节状、溃疡性或浸润性病变不等。临床表现无特异性,包括食欲减退、恶心、呕吐、体重减轻、上腹痛和腹部不适。因此,淀粉样变性在临床和内镜下可模仿其他疾病,如肿瘤、梅毒、结核病和克罗恩病,需要高度怀疑。当它表现为胃肠道出血时,最常见的是间歇性黑便。本报告旨在介绍一例不寻常的病例,该患者因淀粉样变性累及胃部,通过黑便出现上消化道出血。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37db/10270430/0c488dc26f3f/cureus-0015-00000039094-i01.jpg

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