Lymphedema Associated With Primary Amyloidosis: A Case Study
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
We reported on a 60-year-old man presenting lymphedema of both lower extremities and scrotum for 3 years with unknown cause. We took a computed tomography scan of the lower extremities as a follow-up. There were diffuse subcutaneous edema in both lower extremities and multiple enlarged lymph nodes along the para-aortic and bilateral inguinal areas. For further evaluation, biopsy of an enlarged inguinal lymph node was taken, yielding a diagnosis of primary amyloidosis. A treatment of chemotherapy for amyloidosis was recommended for him. To our knowledge, this is the first report of lymphedema presenting with primary amyloidosis in Asia. This case suggests that primary amyloidosis could be one of the differential diagnoses in patients with lymphedema in the lower extremities.
Abstract
We reported on a 60-year-old man presenting lymphedema of both lower extremities and scrotum for 3 years with unknown cause. We took a computed tomography scan of the lower extremities as a follow-up. There were diffuse subcutaneous edema in both lower extremities and multiple enlarged lymph nodes along the para-aortic and bilateral inguinal areas. For further evaluation, biopsy of an enlarged inguinal lymph node was taken, yielding a diagnosis of primary amyloidosis. A treatment of chemotherapy for amyloidosis was recommended for him. To our knowledge, this is the first report of lymphedema presenting with primary amyloidosis in Asia. This case suggests that primary amyloidosis could be one of the differential diagnoses in patients with lymphedema in the lower extremities.
참고문헌 (6)
- Wechalekar AD, "Systemic amyloidosis", Lancet, 387, pp.2641~2654 (2016)
- Kyle RA, "Incidence and natural history of primary systemic amyloidosis in Olmsted County, Minnesota, 1950 through 1989", Blood, 79, pp.1817~1822 (1992)
- Maclellan RA, "Lymphedema", Semin Pediatr Surg, 23, pp.191~197 (2014)
- Murdaca G, "Current views on diagnostic approach and treatment of lymphedema", Am J Med, 125, pp.134~140 (2012)
- Halm U, "Primary amyloidosis of the mesentery and the retroperitoneum presenting with lymphedema", Am J Gastroenterol, 93, pp.2299~2300 (1998)
- Muller AM, "Primary (AL) amyloidosis in plasma cell disorders", Oncologist, 11, pp.824~830 (2006)
