Primary systemic Al amyloidosis presenting as temporal arteritis
Hakan Emmungil1, Melike Kalfa2, Burcu Başarık3
1Mersin State Hospital, Department of Internal Medicine, Division of Rheumatology, Nusratiye Hometown, Kuvayi Milliye Street No. 32, 33050, Turkey.
Abstract:
Temporal arteritis is most common vasculitis in elderly and imitated by miscellaneous disorders. Temporal artery biopsy is the gold standard test in the diagnosis of giant cell arteritis (GCA). Hereby, we describe a case of a 67-year-old man who presented initially with temporal arteritis; however, a lip biopsy then revealed AL amyloidosis. In this respect, temporal artery biopsy should be performed for definitive diagnosis of GCA particularly patients with systemic symptoms and treatment resistant.
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