轻链与转甲状腺素蛋白心脏淀粉样变共存
Coexistence of Light Chain and Transthyretin Cardiac Amyloidosis.
作者信息
Gami Abhishek, Woller John, Scheel Paul, Ali Syed Abbas, Huff Carol Ann, Steenbergen Charles, Halushka Marc, Sharma Kavita, Polydefkis Michael, Vaishnav Joban
机构信息
Department of Internal Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Division of Cardiology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
出版信息
JACC Case Rep. 2024 Mar 5;29(7):102285. doi: 10.1016/j.jaccas.2024.102285. eCollection 2024 Apr 3.
Although most patients with cardiac amyloidosis are diagnosed with either light chain (AL) or transthyretin (ATTR) disease, coexisting amyloid subtypes can occur. We present three cases of coexisting AL and ATTR cardiac amyloidosis and demonstrate the importance of clinical history and endomyocardial biopsy in diagnosis of this rare entity.
虽然大多数心脏淀粉样变性患者被诊断为轻链（AL）或转甲状腺素蛋白（ATTR）疾病，但也可能存在共存的淀粉样蛋白亚型。我们报告了3例共存的AL和ATTR心脏淀粉样变性病例，并证明了临床病史和心内膜心肌活检在诊断这种罕见疾病中的重要性。
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