An unusual case of systemic AA amyloidosis

Czech version

Authors: Zhychko K. ¹; Douda L. ¹; Soukup T. ¹; Podhola M. ²; Bělobrádková M. ¹; Bureš J. ¹
Authors‘ workplace: II. interní gastroenterologická klinika LF UK a FN Hradec Králové ¹; Fingerlandův ústav patologie LF UK a FN Hradec Králové ²
Published in: Gastroent Hepatol 2021; 75(4): 331-334
Category:
doi: https://doi.org/10.48095/ccgh2021331

Overview

An unusual case of AA amyloidosis is presented. Pharmacotherapy of rheumatoid arthritis induced its 5-year clinical remission, yet despite this, the patient developed AA amyloidosis. Amyloidosis involved the stomach, duodenum and kidneys. AA amyloidosis did not impair the renal functions significantly. This case emphasized the importance of non-targeted biopsies of macroscopically normal mucosa of the stomach and duodenum that made it possible to diagnose amyloidosis. The patient remained without any gastrointestinal symptoms even during the subsequent follow-up.

Keywords:

AA amyloidosis – gastroscopy – non-targeted biopsies

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