Sabri Samia, Bachir Houda, Hamaz Siham, Bennesser Habiba Alaoui, Serraj Khalid
Faculty of Medicine and Pharmacy, Mohammed First University, Oujda, Morocco.
Department of Internal Medicine, Univeristy Hospital Mohammed Vl, Oujda, Morocco.
Radiol Case Rep. 2024 Sep 3;19(11):5465-5470. doi: 10.1016/j.radcr.2024.08.013. eCollection 2024 Nov.
AL amyloidosis is a rare systemic disease characterized by the deposition of amyloid protein in various organs, including the kidneys, heart, peripheral nervous system, digestive tract, skin, and muscles. Peritoneal involvement in AL amyloidosis is exceptionally rare. We present a unique case of AL amyloidosis with concurrent cardiac, cutaneous, and peritoneal manifestations. The patient initially presented with ascites and respiratory symptoms. An etiological workup revealed multiple myeloma as the underlying cause. This case highlights the importance of considering AL amyloidosis in the differential diagnosis of peritoneal ascites, providing valuable insights for radiologists in recognizing atypical presentations of this disease.
轻链型淀粉样变性是一种罕见的全身性疾病,其特征是淀粉样蛋白在包括肾脏、心脏、周围神经系统、消化道、皮肤和肌肉在内的各种器官中沉积。轻链型淀粉样变性累及腹膜极为罕见。我们报告一例独特的轻链型淀粉样变性病例,同时伴有心脏、皮肤和腹膜表现。患者最初表现为腹水和呼吸道症状。病因学检查发现潜在病因是多发性骨髓瘤。该病例强调了在腹膜腹水的鉴别诊断中考虑轻链型淀粉样变性的重要性,为放射科医生识别该疾病的非典型表现提供了有价值的见解。