Gastric AA amyloidosis secondary to chronic infection presenting with hematemesis: a case report

被引：1

作者：

Huang, Yuting ^{[1
]}

Nasir, Salahuddin ^{[2
]}

Challa, Suryanarayana Reddy ^{[1
]}

Peng, Carol Chiung-Hui ^{[1
]}

Stashek, Kristen ^{[3
]}

Fanaroff, Rachel ^{[3
]}

Hu, Shien ^{[3
]}

机构：

[1] Univ Maryland Med Ctr Midtown Campus, 827 Linden Ave, Baltimore, MD 21201 USA

[2] Amer Univ Antigua, Coll Med, Coolidge, Antigua & Barbu

[3] Univ Maryland, Sch Med, Baltimore, MD 21201 USA

来源：

CLINICAL JOURNAL OF GASTROENTEROLOGY | 2020年 / 13卷 / 06期

关键词：

AA amyloidosis; Hematemesis; GI amyloidosis; Chronic infection; TRACT;

D O I：

10.1007/s12328-020-01211-7

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

AA amyloidosis, previously known as secondary amyloidosis, has been associated with multiple chronic inflammatory conditions, including various autoimmune diseases and rarely chronic infection. Hereby, we present a case of AA amyloidosis secondary to chronic infection which initially presented with nausea and hematemesis. Endoscopic biopsies revealed diffuse AA amyloid deposition in the stomach, but not the esophagus. AA Amyloidosis presumably compromised gastric motility, promoted reflux related esophageal ulcers and erosions, and caused his cardiac and renal insufficiency. Therefore, endoscopic biopsies could be practical investigation to identify AA amyloidosis in the setting of chronic inflammatory diseases, especially with multi-organ involvement.

引用

页码：1070 / 1073

页数：4

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