首页> 外文期刊>American Journal of Cardiovascular Disease Research >Amyloid Cardiomyopathy in African Americans and the Transthyretin Linkage Associated with Macroglossia: A Rare Presentation
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Amyloid Cardiomyopathy in African Americans and the Transthyretin Linkage Associated with Macroglossia: A Rare Presentation

机译:非裔美国人的淀粉样变性心肌病和甲状腺功能亢进症相关的运甲状腺素蛋白联结:罕见的表现。

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We report a case of a 63 year old African American female with congestive heart failure, poorly controlled hypertension, and end stage renal disease admitted for STEMI (ST Elevation Myocardial Infarction) and hypertensive crisis. Macroglossia was noticed during hospitalization and an echocardiogram was suggestive of cardiac infiltrative disease. Protein electrophoresis and immunofixation were negative. Although macroglossia is a common finding in light chain (AL) amyloidosis, there are reported cases in transthyretin (ATTR) amyloidosis. Learning objective: To highlight a rare presentation of transthyretin amyloidosis, and to raise awareness of this disease and its particular prevalence in the African American and African Caribbean populations.
机译:我们报告了一例63岁的非洲裔美国女性,患有充血性心力衰竭,高血压控制不佳以及因STEMI(ST抬高型心肌梗塞)和高血压危疾而入院的终末期肾脏疾病。住院期间发现巨眼症,超声心动图提示心脏浸润性疾病。蛋白质电泳和免疫固定均为阴性。尽管大舌症是轻链(AL)淀粉样变性的常见发现,但有报道称运甲状腺素蛋白(ATTR)淀粉样变性。学习目标:突出转甲状腺素蛋白淀粉样变性的罕见表现,并提高对这种疾病及其在非裔美国人和非洲加勒比海人群中特别流行的认识。

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