Chronic Diarrhea as the Presenting Feature of Amyloidosis with Multiple Myeloma: A Case Report Diagnosed by a Myocardial Biopsy

Otagiri, Shinsuke; Nakajima, Sae; Katsurada, Takehiko et al.

Internal medicine, 2021, 60(8), 1197-1203

Permalink : https://hdl.handle.net/2115/82000

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https://doi.org/10.2169/internalmedicine.6038-20     13

論文情報

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アクセス権
open access
URI
https://hdl.handle.net/2115/82000
タイトル
Chronic Diarrhea as the Presenting Feature of Amyloidosis with Multiple Myeloma: A Case Report Diagnosed by a Myocardial Biopsy
著者
Otagiri, Shinsuke ; Nakajima, Sae ; Katsurada, Takehiko ; Sakurai, Kensuke ; Yamanashi, Kana ; Are, Takahide ; Takakuwa, Emi ; Mitsuhashi, Ibmoko ; Sakamoto, Naoya
著者名
Otagiri, Shinsuke
著者名
Nakajima, Sae
e-Rad_Researcher
90507592
著者名
Katsurada, Takehiko
著者名
Sakurai, Kensuke
著者名
Yamanashi, Kana
著者名
Are, Takahide
著者名
Takakuwa, Emi
著者名
Mitsuhashi, Ibmoko
著者名
Sakamoto, Naoya
言語
英語
キーワード
amyloidosis
bone marrow
chronic diarrhea
multiple myeloma
myocardial biopsy
発行日
2021-04-15
出版者
日本内科学会(The Japanese Society of Internal Medicine)
収録物名
Internal medicine
巻(号)
60(8)
ページ
1197-1203
抄録
A 73-year-old woman with a history of diarrhea for one year and other various symptoms was admitted to our hospital. Gastrointestinal endoscopy that included enteroscopy with multiple biopsies was performed. However, no significant findings were observed. Electrocardiography showed low voltage in all limb leads, and an echocardiogram showed thickened cardiac walls with granular sparkling pattern. A myocardial biopsy revealed amyloidosis, and a bone marrow biopsy showed multiple myeloma. This case suggests that we should suspect the possibility of amyloidosis in a patient with diarrhea and various symptoms involving multiple organ systems. Additionally, electrocardiograms and echocardiograms should be performed even when gastrointestinal biopsies reveal negative results.
資源タイプ
学術雑誌論文
出版タイプ
Version of Record
PISSN
0918-2918
関連情報 (isIdenticalTo)
出版社版DOI
https://doi.org/10.2169/internalmedicine.6038-20