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[Systemic amyloidosis. Case report].

Doina Butcovan1, Dana Pintilie, Cristina Prisecariu

  • 1Universitatea de Medicină şi Farmacie Gr.T. Popa Iaşi, Facultatea de Medicină, Disciplina de Morfopatologie.

Revista Medico-Chirurgicala a Societatii De Medici Si Naturalisti Din Iasi
|April 13, 2006
PubMed
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This study details a rare case of cardiac amyloidosis in a woman with plasma-cell myeloma. The findings highlight the morphoclinical presentation of amyloid myopathy, a condition with very low prevalence.

Area of Science:

  • Cardiology
  • Neurology
  • Oncology

Background:

  • Amyloid deposition in skeletal muscle is a recognized but infrequent finding.
  • Cardiac amyloidosis presents a significant diagnostic challenge, often associated with progressive cardiac failure and conduction abnormalities.

Observation:

  • This case report focuses on a 51-year-old woman with symptoms of progressive cardiac failure and sinus node disease.
  • Clinical evaluation revealed a concurrent diagnosis of plasma-cell myeloma.
  • Muscle-cutaneous biopsy confirmed amyloid deposits in the interstitial and perivascular regions, with focal muscle atrophy and regeneration.

Findings:

  • Histological examination confirmed amyloid presence using sulfated blue alcian staining.
  • The study observed characteristic morphoclinical features of amyloid myopathy.

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  • Amyloid myopathy has a low prevalence rate of 0.004% in muscle biopsy specimens, with multiple myeloma being an uncommon comorbidity.

    • Implications:

    • This case underscores the importance of considering amyloidosis in patients with unexplained cardiac dysfunction and myeloma.
    • Early diagnosis and characterization of amyloid myopathy are crucial for appropriate patient management.
    • Further research into the pathogenesis and treatment of cardiac amyloidosis associated with plasma-cell myeloma is warranted.