Emerging from the shadows: A rare case of gastrointestinal AL amyloidosis presenting as hematemesis.
AL amyloidosis
CyBorD regimen
esophagogastroduodenoscopy
gastrointestinal manifestations
hematemesis
Journal
Proceedings (Baylor University. Medical Center)
ISSN: 0899-8280
Titre abrégé: Proc (Bayl Univ Med Cent)
Pays: United States
ID NLM: 9302033
Informations de publication
Date de publication:
2023
2023
Historique:
medline:
13
10
2023
pubmed:
13
10
2023
entrez:
13
10
2023
Statut:
epublish
Résumé
We document a unique presentation of light chain (AL) amyloidosis in a 62-year-old man exhibiting as acute hematemesis and chronic abdominal discomfort. Esophagogastroduodenoscopy disclosed marked thickening of gastric and duodenal folds, gastroduodenal nodularity, and friable ulcerations. Biopsy confirmed amyloidosis. Subsequent investigations ratified a diagnosis of systemic AL amyloidosis with cardiac involvement. Initiation of the cyclophosphamide, bortezomib, and dexamethasone (CyBorD) regimen, along with tafamidis and doxycycline for cardiac pathology, led to substantial improvement of abdominal symptoms. This case highlights the variability in amyloidosis presentations and the importance of early diagnosis.
Identifiants
pubmed: 37829217
doi: 10.1080/08998280.2023.2257113
pii: 2257113
pmc: PMC10566416
doi:
Types de publication
Journal Article
Langues
eng
Pagination
758-760Informations de copyright
Copyright © 2023 Baylor University Medical Center.
Déclaration de conflit d'intérêts
The authors report no funding or conflicts of interest. Informed consent was obtained from the patient for the publication of this case report and accompanying images.
Références
Rev Esp Enferm Dig. 2015 Jan;107(1):49-51
pubmed: 25603335
Exp Ther Med. 2021 Oct;22(4):1145
pubmed: 34504590
Am J Gastroenterol. 1982 Jun;77(6):422-6
pubmed: 6979925
Intern Med J. 2022 Dec;52(12):2046-2067
pubmed: 36478370
World J Gastrointest Endosc. 2011 Aug 16;3(8):157-61
pubmed: 21954412
Am J Hematol. 2016 Sep;91(9):947-56
pubmed: 27527836
JAMA. 1983 Mar 11;249(10):1322-4
pubmed: 6600795
Am J Gastroenterol. 2008 Mar;103(3):776-87
pubmed: 18076735
Cureus. 2017 May 8;9(5):e1228
pubmed: 28611935
Medicine (Baltimore). 2021 Dec 23;100(51):e28422
pubmed: 34941190
Hum Pathol. 2015 Apr;46(4):491-8
pubmed: 25649008