• 제목/요약/키워드: amyloidosis

검색결과 66건 처리시간 0.017초

원발성 국소 후두아밀로이드증 2례 (Two Cases of Primary Localized Amyloidosis of Larynx)

  • 김형태;조승호;전범조;김민식
    • 대한후두음성언어의학회지
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    • 제9권2호
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    • pp.147-151
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    • 1998
  • Primary localized laryngeal amyloidosis is an uncommon disorder of unknown cause that occurs in the absence of systemic amyloidosis or associated disease. There is a risk of either missing concomitant systemic amyloidosis or exhaustively investigating for this when it is not present through failure to appreciate the nature of the disease. We present 2 cases of primary localized laryngeal amyloidosis in supraglottic region. Biopsy of the mass of patients revealed findings consistent with amyloidosis, which were Congo red reaction with a apple green birefringence in polarized light fluorescence microscopy. An extensive workup for systemic amyloidosis was negative. All of two cases were treated by vaporization via $CO_2$ LASER using "Swiftlase Flshscan" for creating a wide, shallow char-free treatment site by precisely controlling ablation depth without causing residual thermal damage to tissue. The postoperative recovery of all cases was uneventful with good vocal quality and no aspiration. At the present time, the patients have no evidence of disease, recurrence and complication.

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폐실질내 결절형 유전분증 - 수술치험 1례 - (Pulmonarg Nodular Amyloidosis)

  • 전도환;이충석;조성래;김영옥
    • Journal of Chest Surgery
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    • 제32권11호
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    • pp.1060-1063
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    • 1999
  • Amyloidosis is a rare disease which is characterized by the deposition of a histochemically specific substance called amyloid in many tissue bodies, and causes various symptoms according to the organs involved. Amyloid is usually recognized by its staining reaction with Congo red stain. Primary pulmonary amyloidosis is very rare. Nodular pulmonary amyloidosis is an uncommon entity that usually manifests itself as an asymptomatic incidental finding on the chest roentgenogram and is misdiagnosed as lung cancer or pulmonary tuberculosis.

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Isolated Tricuspid Regurgitation: Initial Manifestation of Cardiac Amyloidosis

  • Yoon, Dong Woog;Park, Byung-Jo;Kim, In Sook;Jeong, Dong Seop
    • Journal of Chest Surgery
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    • 제48권6호
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    • pp.422-425
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    • 2015
  • Amyloid deposits in the heart are not exceptional in systemic amyloidosis. The clinical manifestations of cardiac amyloidosis may include restrictive cardiomyopathy, characterized by progressive diastolic and eventually systolic biventricular dysfunction; arrhythmia; and conduction defects. To the best of our knowledge, no previous cases of isolated tricuspid regurgitation as the initial manifestation of cardiac amyloidosis have been reported. We describe a rare case of cardiac amyloidosis that initially presented with severe tricuspid regurgitation in a 42-year-old woman who was successfully treated with tricuspid valve replacement. Unusual surgical findings prompted additional evaluation that established a diagnosis of plasma cell myeloma.

후두 아밀로이드증 3예 (Laryngeal Amyloidosis : Report of Three Cases and Review of the Literature)

  • 배지선;김상윤;최승호;남순열
    • 대한후두음성언어의학회지
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    • 제21권1호
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    • pp.54-56
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    • 2010
  • Amyloidosis is a diverse group of disorders that share the deposition of amyloid protein in various extracellular tissues. Systemic amyloidosis may involve any body part and about 9-15% of it is localized. In the head and neck, the larynx is known as most common involved site. A histological diagnosis of amyloidosis is necessary to establish a definite diagnosis. Conservative surgery can be done for relieved airway obstruction or restored voice. We present three cases of patients with laryngeal amyloidosis that was treated with laryngeal microscopic surgery with laser.

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두경부 MALT 림프종 환자에서 나타난 국소적 종괴 주위 아밀로이증의 전산화단층촬영 및 자기공명영상 소견: 증례 보고 (CT and MRI Features of Localized Peritumoral Amyloidosis in a Patient with Head and Neck Mucosa-Associated Lymphoid Tissue Lymphoma: A Case Report)

  • 김한준;홍현숙;김지윤
    • 대한영상의학회지
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    • 제82권5호
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    • pp.1334-1340
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    • 2021
  • 아밀로이드증과 비호지킨림프종과의 연관관계는 이전의 연구들에서 보고된 바 있다. 림프종과 아밀로이드증과의 연관관계는 두 개의 구분되는 범주로 나뉘는데 림프종 연관 전신성 아밀로이드증과 종괴 주위 아밀로이드증이다. 저자들은 두경부 MALT 림프종 환자에서 발생한 국소적 종괴 주위 아밀로이드증의 드문 증례를 보고하고자 한다. 전산화단층촬영에서 병변은 연조직음영을 보이는 무정형석회화를 동반한 불규칙한 모양의 종괴였으며, 조영증강 시 불균일한 조영증강을 보였다. 자기공명영상에서는 종괴가 T1 강조영상과 T2 강조영상에서 모두 불균일한 낮은 신호 강도를 보였다. 종괴는 강한 조영증강을 보였으며, 내부에는 여러 개의 조영증강되지 않는 부분들을 포함하고 있었다. 림프종 환자에서 치료 전 영상검사에서 발견된 석회화들은 종괴 주위 아밀로이드증과 같은 동반된 다른 이차성 병변을 시사하는 소견이 될 수 있을 것이다.

A Korean family with AGel amyloidosis presenting with progressive facial and bulbar palsies

  • Kang, Minsung;Shin, Jin-Hong;Kim, Dae-Seong
    • Annals of Clinical Neurophysiology
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    • 제24권2호
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    • pp.90-92
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    • 2022
  • AGel amyloidosis is an autosomal dominantly inherited disease caused by a GSN mutation, and affected patients typically present with the clinical triad of corneal lattice dystrophy, progressive cranial neuropathy, and cutis laxa. We report a Korean family with AGel amyloidosis with predominant manifestations of facial and bulbar muscle weakness. Whole-exome sequencing revealed a common missense mutation (p.Asp214Tyr) in GSN. This case strongly suggests that AGel amyloidosis should be considered when a patient presents with progressive facial and bulbar palsies.

기립불능증으로 발현한 다발골수종과 연관된 아밀로이드증 (Myeloma-associated Amyloidosis Presenting as Orthostatic Intolerance)

  • 정희정;남원식;손승남;김수경;강희영;최낙천;권오영;임병훈;박기종
    • Annals of Clinical Neurophysiology
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    • 제17권1호
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    • pp.24-27
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    • 2015
  • Amyloidosis is a systemic disorder associated with clonal plasma cell dyscrasia. Nephrotic syndrome, congestive heart failure, autonomic and peripheral neuropathy is often associated features in amyloidosis. Early diagnosis is most important because of different prognosis by stage. The diagnosis can be delayed since symptoms of amyloidosis may vary or nonspecific. We describe a patient of myeloma-associated amyloidosis, who showed orthostatic intolerance as the first symptom of the disease.

A Pediatric Case of Inflammatory Bowel Disease with Renal Amyloidosis

  • Hyun, Hyesun;Park, Eujin;Kim, Ji Hyun;Cho, Myung Hyun;Kang, Hee Gyung;Moon, Jin Soo;Moon, Kyung Chul;Ha, Il-Soo;Cheong, Hae Il
    • Childhood Kidney Diseases
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    • 제22권2호
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    • pp.81-85
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    • 2018
  • Amyloidosis is a rare disease that results from the deposition of extracellular protein in various body tissues, causing progressive organ dysfunction. Secondary renal amyloidosis is a rare but serious complication of chronic inflammatory bowel disease, particularly in patients with Crohn's disease or ulcerative colitis. We report a case of secondary renal amyloidosis in a pediatric patient who reported a 16-year history of "very early onset inflammatory bowel disease". Intensive treatment including repeated infliximab infusions improved clinical parameters of inflammatory bowel disease, although renal dysfunction showed progression. Amyloidosis should be considered in patients with IBD, particularly if they suffered disease progression.

Single Nodular Pulmonary Amyloidosis: Case Report

  • Lee, Seung Hyun;Ko, Young Chun;Jeong, Jong Pil;Park, Chan Woo;Seo, Seok Ho;Kim, Jong Taek;Park, Dae Won;Bak, Cheol Min;Moon, Seung Ki;Jo, Shin Hyoung;Kim, Se Mi;Jung, Ah Lon
    • Tuberculosis and Respiratory Diseases
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    • 제78권4호
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    • pp.385-389
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    • 2015
  • Amyloidosis is defined as the presence of extra-cellular deposits of an insoluble fibrillar protein, amyloid. The pulmonary involvement of amyloidosis is usually classified as tracheobronchial, parenchymal nodular, or diffuse alveolar septal. A single nodular lesion can mimic various conditions, including malignancy, pulmonary tuberculosis, and fungal infection. To date, only one case of nodular pulmonary amyloidosis has been reported in Korea, a case involving multiple nodular lesions. Here, we report and discuss the case of a patient having single nodular amyloidosis.

소아기 류마티스 관절염 환아에서 발생한 이차성 신유전분증 1 례 (A Case of Secondary Renal Amyloidosis in Children with Juvenile Rheumatoid Arthritis)

  • 문재훈;이숙진;강미선;정우영
    • Childhood Kidney Diseases
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    • 제6권2호
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    • pp.243-250
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    • 2002
  • 저자들은 소아기 류마티스 관절염으로 진단되어 간헐적으로 NSAID를 투여 받아 오던 중학교 신체검사에서 우연히 발견된 단백뇨와 혈뇨를 주소로 내원하였던 12세 여아에서 신생검상 신장의 아밀로이드의 침착을 확인하여 이차성 유전분증으로 진단된 증례를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

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