Riemann J F, Rösch W, Becker V
Fortschr Med. 1978 Mar 16;96(10):541-5.
Clinico-pathological conference concerning a syndrome, characterized by considerable diagnostic problems. Polyneuropathy, adrenocortical insufficiency and diarrhea without typical changes in laboratory or functional data should always lead to the suspicion of primary amyloidosis. This diagnosis could be confirmed in the discussed case report. Its clinical relevance in regard to the type of spreading--perireticular or pericollagenous--is discussed, methods for identification are mentioned.
关于一种综合征的临床病理讨论会,该综合征具有相当多的诊断问题。多发性神经病、肾上腺皮质功能不全和腹泻,而实验室或功能数据无典型变化,应始终怀疑为原发性淀粉样变性。在本病例报告中可证实这一诊断。讨论了其在扩散类型(网状周围或胶原周围)方面的临床相关性,并提及了识别方法。