Frustaci A, Gentiloni N, Feoli F
Minerva Med. 1981 Apr 14;72(15):957-60.
The Authors describe a case of systemic amyloidosis with hepatic renal, intestinal and presumably cardiac involvement in the course of multiple myeloma (light K chain type). Notwithstanding the presumptions of the pathogenesis of amyloidosis and the capacity of colchicine to inhibit amyloid synthesis in rats treated with casein, the form in question derived little benefit from the association of colchicine (0.5 mg t.i.d.) and Melphalan (cycles of 4 days every 6 weeks - 0.25 mg/Kg/die).
作者描述了一例在多发性骨髓瘤(轻链K型)病程中出现肝脏、肾脏、肠道及可能的心脏受累的系统性淀粉样变性病例。尽管存在淀粉样变性发病机制的推测以及秋水仙碱在酪蛋白处理的大鼠中抑制淀粉样蛋白合成的能力,但该病例使用秋水仙碱(每日3次,每次0.5毫克)与美法仑(每6周进行4天疗程,每日0.25毫克/千克)联合治疗获益甚微。