Localized Immunoglobulin Light-Chain Amyloidosis of the Ulnar Nerve.

Amyloid Neuropathy Ulnar nerve

Journal

Case reports in neurology
ISSN: 1662-680X
Titre abrégé: Case Rep Neurol
Pays: Switzerland
ID NLM: 101517693

Informations de publication

Date de publication:
Historique:
received: 20 11 2020
accepted: 13 02 2021
entrez: 28 6 2021
pubmed: 29 6 2021
medline: 29 6 2021
Statut: epublish

Résumé

Amyloidosis is a disorder caused by extracellular tissue deposition of insoluble fibrils. Amyloidosis can be divided into systemic or localized disease. Primary systemic amyloidosis is a multisystem disease caused by the deposition of amyloid in various tissues. Localized amyloidosis has different characteristics than those of systemic amyloidosis. In this paper, we present the case of a middle-aged woman who presented with worsening ulnar nerve palsy. Electrophysiological examination and MRI indicated a tumor surrounding the ulnar nerve in the forearm. However, the operative findings revealed that ulnar nerve fascicles were replaced with a yellow tissue, which was diagnosed as amyloid light-chain λ amyloidosis, based on histopathological examination. Systemic amyloidosis was ruled out after the screening examinations. This paper is the first report of the ulnar nerve as the sole site of localized immunoglobulin light-chain amyloidosis manifestation.

Identifiants

pubmed: 34177537
doi: 10.1159/000515475
pii: crn-0013-0305
pmc: PMC8215969
doi:

Types de publication

Case Reports

Langues

eng

Pagination

305-311

Informations de copyright

Copyright © 2021 by S. Karger AG, Basel.

Déclaration de conflit d'intérêts

All the authors have no conflicts of interest to disclose.

Références

J Neurosurg. 2016 Sep;125(3):598-602
pubmed: 26771846
Expert Rev Hematol. 2014 Feb;7(1):143-56
pubmed: 24350907
Am J Med. 1998 Mar;104(3):232-7
pubmed: 9552085
Ups J Med Sci. 2012 May;117(2):244-50
pubmed: 22335280
Ann Neurol. 1979 Jul;6(1):1-7
pubmed: 228587
Amyloid. 2005 Dec;12(4):239-45
pubmed: 16399649
BMC Nephrol. 2018 Nov 6;19(1):307
pubmed: 30400895
Am J Hematol. 2018 Sep;93(9):1169-1180
pubmed: 30040145
Eur J Neurol. 2011 Apr;18(4):604-10
pubmed: 20860753

Auteurs

Shinsuke Morisaki (S)

Department of Orthopaedics, Saiseikai Shiga Hospital, Ritto, Japan.

Shinji Tsuchida (S)

Department of Orthopaedics, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kamigyo-ku, Japan.

Eiichi Konishi (E)

Department of Surgical Pathology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kamigyo-ku, Japan.

Nagaaki Katoh (N)

Department of Medicine (Neurology and Rheumatology), Shinshu University, Matsumoto, Japan.

Yusuke Takahashi (Y)

Department of Medicine (Neurology and Rheumatology), Shinshu University, Matsumoto, Japan.

Kenji Takahashi (K)

Department of Orthopaedics, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kamigyo-ku, Japan.

Classifications MeSH