Primary Systemic Amyloidosis: A Case Report

Authors

  • Tanima Dwivedi Post Graduate, Department of Pathology, KLE University’s J.N. Medical College, Belgaum, Karnataka(India)-590010
  • Ramesh Chavan Professor, Department of Pathology, KLE University’s J.N.Medical college, Belgaum, Karnataka(India)-590010

Keywords:

primary systemic amyloidosis, Idiopathic, plasma cell dyscrasia, AL amyloidosis

Abstract

Primary systemic amyloidosis is a rare entity. We report a case of primary systemic primary amyloidosis, an elderly male presented with generalized weakness since 6 months. Clinical examination revealed typical waxy lesions in the periorbital area with macroglossia. Serum electrophoresis was normal, however, bone marrow examination showed increased plasma cell with a good number of both binucleated and immature plasma cells. Diagnosis was confirmed by skin biopsy using haemotoxylin & eosin staining and congo red staining. Polarised microscopy was not done because of unavailability. We present the myriad manifestations of this uncommon disease entity.

Author Biographies

Tanima Dwivedi, Post Graduate, Department of Pathology, KLE University’s J.N. Medical College, Belgaum, Karnataka(India)-590010

post graduate, pathology

Ramesh Chavan, Professor, Department of Pathology, KLE University’s J.N.Medical college, Belgaum, Karnataka(India)-590010

Professor, Department of Pathology, KLE University’s J.N.Medical College,Belagavi,Karnataka(India)-590010

 

References

1. Falk RH, Comenzo RL, Skinner M. The Systemic Amyloidoses. N Engl J Med 1997:898-909

2. Maize JC, Metcalf J. Metabolic diseases of the skin. In : Elder DE, Elenitas R, Murphy GF, Johnson BL etal. Lever’s Histopathology of the Skin. 10th ed. Philedelphia: Wolter Kluwer; 2009 p.425-9.

3. Saoji V, Chaudhari S, Gohokar D. Primary Systemic Amyloidosis: Three different presentations. Indian J Dermatol Venereol Leprol 2009;75:394-7.

4. Silverstein SR. Primary systemic amyloidosis and the dermatologist: where classic skin lesions may provide the clue for early diagnosis. Dermatology Online Journal 11(1):5

5. Kumar V, Abbas A, Fausto N. Diseases of Immune System. In: Kumar V, Abbas A, Fausto N editors. Robbins and Cortran’s Pathologic Basis of Diseases. 8th ed. Philadelphia: WB Saunders: 2010. Pg 249-57.

6. Amyloidosis. Available from : http://en.wikipedia.org/wiki/Amyloidosis. [Last accessed 16.09.2013].

7. Baethge BA, Jacobson DR. Amyloidosis, overview. Available from: http://emedicine.medscape.com/article/1093258-overview. [Last accessed 16.09.2013].

8. Bandhlish A, Aggarwal A, Koranne RV. A clinicoepidemiological study of macular amyloidosis from North India. Indian J Dermatol 2012;57:269-74.

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Published

25-02-2016

How to Cite

1.
Dwivedi T, Chavan R. Primary Systemic Amyloidosis: A Case Report. Ann of Pathol and Lab Med [Internet]. 2016 Feb. 25 [cited 2024 Nov. 23];3(1):C40-43. Available from: https://pacificejournals.com/journal/index.php/apalm/article/view/apalm446

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Section

Case Report