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Titolo:
Nodular lung disease with five year survival and unilateral pleural effusion in AL amyloidosis
Autore:
Ikeda, S; Takabayashi, Y; Maejima, Y; Tachibana, N; Ehara, T; Nezu, A; Hoshii, Y;
Indirizzi:
Shinshu Univ, Sch Med, Dept Med, Matsumoto, Nagano 3908621, Japan Shinshu Univ Matsumoto Nagano Japan 3908621 sumoto, Nagano 3908621, Japan Shinshu Univ, Sch Med, Dept Pathol, Matsumoto, Nagano 3908621, Japan Shinshu Univ Matsumoto Nagano Japan 3908621 sumoto, Nagano 3908621, Japan Nezu Clin, Hotaka 3998300, Japan Nezu Clin Hotaka Japan 3998300Nezu Clin, Hotaka 3998300, Japan Yamaguchi Univ, Sch Med, Dept Pathol, Ube, Yamaguchi 7558505, Japan Yamaguchi Univ Ube Yamaguchi Japan 7558505 Ube, Yamaguchi 7558505, Japan
Titolo Testata:
AMYLOID-INTERNATIONAL JOURNAL OF EXPERIMENTAL AND CLINICAL INVESTIGATION
fascicolo: 4, volume: 6, anno: 1999,
pagine: 292 - 296
SICI:
1350-6129(199912)6:4<292:NLDWFY>2.0.ZU;2-9
Fonte:
ISI
Lingua:
ENG
Soggetto:
PULMONARY AMYLOIDOSIS; SYSTEMIC AMYLOIDOSIS; INVOLVEMENT; FEATURES; BIOPSY;
Keywords:
AL-amyloidosis; pulmonary amyloidosis; pleural effusion; plasma cell dyscrasia;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Life Sciences
Citazioni:
16
Recensione:
Indirizzi per estratti:
Indirizzo: Ikeda, S Shinshu Univ, Sch Med, Dept Med Neurol, Matsumoto, Nagano 3908621, Japan Shinshu Univ Matsumoto Nagano Japan 3908621 agano 3908621, Japan
Citazione:
S. Ikeda et al., "Nodular lung disease with five year survival and unilateral pleural effusion in AL amyloidosis", AMYLOID, 6(4), 1999, pp. 292-296

Abstract

A 67-year-old female patient with biopsy proven AL systemic amyloidosis developed rapidly progressive dyspnea. Chest roentgenogram and CT scan revealed a large right pleural effusion in addition to nodular lesions with bilateral hilar lymphadenopathy. The patient's serum showed IgG lambda type monoclonal gammopathy and she also had Bence Jones proteinuria. The pleural effusion was an exudate that contained many mononuclear cells and a high concentration of protein. Cardiac function was not seriously disturbed Except for amyloidosis, no other causes for the severe pleural effusion were found This patient was treated with chemical pleurodesis using Picibanil and a lowdose of prednisolone. Eighteen months after this treatment, her right pleural effusion did not recur. Bronchopulmonary tissues are known to be frequently involved by AL systemic amyloidosis, but a nodular pattern of pulmonary amyloid deposition and a unilateral large pleural effusion are rare clinical manifestations in this disease.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 31/03/20 alle ore 19:44:09