"Apple green evil". Case report

Abstract

It takes at least several months from the suspicion of amyloidosis to the diagnosis. This delays the start of specific therapy. Diagnosis of amyloidosis should consist not only in the differential diagnosis and confirmation of the diagnosis, but also in determining the type of amyloidosis. The case report is interesting in that paraclinical diagnostics determined the picture characteristic of ATTR-amyloidosis with involvement to the peripheral nervous system and heart, as well as the picture of AL-amyloidosis with predominant renal involvement. For the final diagnosis, repeated biopsy with subsequent amyloid typing was required.

Keywords

• al-amyloidosis
• attr-amyloidosis
• monoclonal secretion
• multiple myeloma
• bence-jones protein
• myocardial scintigraphy
• immunochemical examination of blood and urine
• diagnostics