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Primary systemic amyloidosis: a case report

机译:原发性系统性淀粉样变性病:一例报告

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Primary amyloidosis is a group of monoclonal plasma cell disorders, characterized by extracellular deposition of immunoglobulin light chain fibrils in multiple organs leading to progressive multiorgan dysfunction. It is a rare disease which usually occurs in elderly persons and has a poor prognosis. We report a 72-year-old male patient with chronic abdominal distension, bilateral pitting pedal edema with nephrotic range proteinuria and amyloid deposition in liver and bone marrow. Immunoelectrophoresis of serum demonstrated the presence of immunoglobulin light chains of the circulating monoclonal protein. He was treated with IV bortezomib and IV dexamethasone.
机译:原发性淀粉样变性是一组单克隆浆细胞疾病,其特征在于免疫球蛋白轻链原纤维在多个器官中的细胞外沉积,导致进行性多器官功能障碍。这是一种罕见的疾病,通常发生在老年人中,预后较差。我们报告了一名72岁的男性患者,患有慢性腹胀,双侧门水肿,肾病范围蛋白尿和淀粉样蛋白沉积在肝脏和骨髓中。血清的免疫电泳表明存在循环单克隆蛋白的免疫球蛋白轻链。他接受静脉注射硼替佐米和地塞米松静脉注射治疗。

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