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Diagnostic challenges in systemic amyloidosis: a case report with clinical and laboratorial pitfalls.
Lino, Angelina Maria Martins; Castelli, Jussara Bianchi; Szor, Roberta Shcolnik; Fernandes, Fabio; Aiello, Vera Demarchi.
Affiliation
  • Lino AMM; Universidade de São Paulo (USP), Hospital das Clínicas, Department of Neurology, Clinical Peripheral Nerve Group, São Paulo, SP, Brasil.
  • Castelli JB; Universidade de São Paulo (USP), Instituto do Coração, Laboratory of Pathology, São Paulo, SP, Brasil.
  • Szor RS; Grupo Fleury, Department of Pathology, São Paulo, SP, Brasil.
  • Fernandes F; Universidade de São Paulo (USP), Instituto do Câncer do Estado de São Paulo, São Paulo, SP, Brasil.
  • Aiello VD; Universidade de São Paulo (USP), Instituto do Coração, Cardiomiopathy Group, São Paulo, SP, Brasil.
Autops Case Rep ; 11: e2021326, 2021.
Article in En | MEDLINE | ID: mdl-34631606
Currently, there is growing evidence in the literature warning of misdiagnosis involving amyloidosis and chronic inflammatory demyelinating polyneuropathy (CIDP). Although inducing clinical manifestations outside the peripheral nervous system, light chain and transthyretin amyloidosis may initially present with peripheral neuropathy, which can be indistinguishable from CIDP, leading to a delay in the correct diagnosis. Besides, the precise identification of the amyloid subtype is often challenging. This case report exemplifies clinical and laboratory pitfalls in diagnosing amyloidosis and subtyping amyloid, exposing the patient to potentially harmful procedures.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Type of study: Diagnostic_studies / Prognostic_studies Language: En Journal: Autops Case Rep Year: 2021 Document type: Article Affiliation country: Brazil Country of publication: Brazil

Full text: 1 Collection: 01-internacional Database: MEDLINE Type of study: Diagnostic_studies / Prognostic_studies Language: En Journal: Autops Case Rep Year: 2021 Document type: Article Affiliation country: Brazil Country of publication: Brazil